Retiring in Highlands, North Carolina
A high-elevation Blue Ridge plateau town in Macon County, with a critical access hospital between Highlands and Cashiers, a university biological station and Whiteside Mountain in the Nantahala National Forest.
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Retiring in Highlands: overview
Highlands is in Macon, North Carolina, within the Asheville & Western Mountains region.
Highlands is a mountain town in Macon County, in the southern Blue Ridge. The strongest public facts about it come from institutions around it: the Highlands Biological Station, a multi-campus center of Western Carolina University focused on the southern Blue Ridge, which it calls a global biodiversity hotspot; the U.S. Forest Service's Nantahala National Forest and its Whiteside Mountain recreation area south of U.S. 64 between Highlands and Cashiers; and Highlands-Cashiers Hospital, an accredited critical access hospital on Highway 64 between the two towns. For retirees the draw is nature, culture and a small hospital close at hand; the tradeoff is distance to larger medical centers, which makes winter access and plan networks worth checking.
Highlands is part of the Asheville and western mountains region, which includes Brevard and Hendersonville, and a mountain retiree should compare winter access, hospital distance and local taxes for each address. Rates and services change, so confirm current figures with the county and hospital before deciding.
Cost of living in Highlands
Highlands property owners pay Macon County property tax, and the county's tax page offers a separate 2026 tax scroll download for Highlands. The North Carolina Department of Revenue's 2025-26 table lists Macon County at 0.2700, and the county's own page describes a tax office in Franklin. Ask Macon County for the town rate for a specific parcel, since the town rate is set separately. The North Carolina Department of Revenue's county table lists Macon County's total sales tax at 6.75%.
Heating, access to services and insurance are larger variables in the mountains than in a lowland town; get quotes for the specific house and ask about road maintenance, because a home on a private road or steep driveway has different winter access than a home on a state-maintained road.
Property taxes in Highlands
The North Carolina Department of Revenue's 2025-26 county table lists Macon County at 0.2700 per $100, the same as the two prior years, against 0.4000 for the two years before that, with a latest revaluation of 2023 and a next revaluation of 2027. The rate fell when values were reset, so a seller's old bill is not a good guide to the current one.
Macon County says appraisal staff will visit properties during 2026 in preparation for the 2027 reappraisal, in a white county-marked vehicle with badges visible, and that an appraiser can be reached at 828-349-2147. The county's FAQ says property taxes are due September 1 and interest begins January 6 of the following year at 2%, increasing by three-quarters of 1% per month; vehicle taxes are collected through North Carolina's combined Tag and Tax system.
North Carolina's elderly and disabled relief programs are handled by the county tax assessor where the property sits. The state's 2026 application covers the Elderly or Disabled Exclusion (G.S. 105-277.1), the Disabled Veteran Exclusion (G.S. 105-277.1C) and the Circuit Breaker Tax Deferment Program (G.S. 105-277.1B), and must be filed by June 1 to be timely. Submit it to the Macon County tax assessor, not to the state. See the NC retirement taxes guide for state rules on retirement income.
Insurance and risk in Highlands
The public sources behind this page do not give Highlands-specific hazard data, so a buyer should check the property's flood zone and slope conditions with the county and ask insurers about wildfire, wind and winter-storm coverage and any landslide exclusions. North Carolina's Department of Insurance explains that homeowners policies do not cover flood damage, so flood insurance is a separate decision even in the mountains. The healthcare access guide discusses winter access to care.
Healthcare access in Highlands
Highlands-Cashiers Hospital, at 190 Hospital Drive on Highway 64 between Highlands and Cashiers, is an accredited and Joint Commission certified critical access hospital serving Macon, Jackson and surrounding counties. Its emergency department is open 24 hours a day, has private exam rooms and a Fast Track area for less severe injuries, and is certified by The Joint Commission as an Acute Stroke Ready Hospital. The hospital says it also offers surgical services and a Swing Bed Program for rehabilitation after a prolonged illness, stroke or surgery, along with cardiology, imaging, orthopedic care, outpatient physical rehabilitation and women's care.
The hospital is part of Mission Health and HCA Healthcare. Its emergency care page notes that patients needing admission for mental health care are transferred to Mission's Sweeten Creek Mental Health and Wellness Center in Asheville after a medical screening, and lists Angel Medical Center in Franklin and Transylvania Regional Hospital in Brevard among the network's other emergency locations. Because larger hospitals are in other towns, confirm the drive time in winter and your Medicare plan's network before choosing a home.
Climate in Highlands
Highlands sits in the high southern Blue Ridge, where the Forest Service lists Whiteside Mountain, near Highlands, at an elevation of 4,930 feet. For temperature, snowfall and rainfall data, use the National Weather Service forecast and observations for the Highlands area; mountain temperatures can differ substantially from valley stations.
Lifestyle and recreation in Highlands
The Highlands Biological Station says it is located just minutes from downtown Highlands and shares the Plateau's natural wonders with visitors through free educational programs. Its Nature Center offers interactive exhibits, live animals and programs on the region's biodiversity, with admission supported by the Highlands Biological Foundation, the State of North Carolina and Western Carolina University, and its botanical garden has 12 acres of native plant collections, trails and lake views, open year-round from dawn to dusk. Dogs must be leashed on campus. Check hours before visiting, since the Nature Center can close for renovations.
Whiteside Mountain is a landmark along the Eastern Continental Divide, rising to 4,930 feet, with cliffs about 750 feet high and rock the Forest Service says is about 390 to 460 million years old. A two-mile loop trail climbs above the cliffs with views to the east, south and west and is rated more difficult because of its steepness. The recreation area is south of U.S. 64 between Highlands and Cashiers, charges $3 per vehicle or a $15 annual pass usable also at Dry Falls and Whitewater Falls, and has climbing closures during peregrine falcon nesting season.
For retirees who value outdoor access, these are the public anchors. Whether a particular street offers year-round convenience is a question for a site visit in winter.
Housing in Highlands
The public sources behind this page do not describe Highlands' housing or any age-restricted communities. Mountain homes vary in slope, road type and distance to services, so check the road maintenance arrangement, driveway grade, septic or sewer service and homeowners association rules, and read the 55+ community versus conventional neighborhood guide before choosing an age-restricted option.
Guides relevant to Highlands
Sources and review date
Last reviewed . Facts on this page come from the sources below; where a rule or figure can change, check the linked source before relying on it.
- Tax Department — Macon County, NC (accessed 2026-09-30)
- Tax Department FAQ — Macon County, NC (accessed 2026-09-30)
- 2027 Reappraisal notice — Macon County Tax Department (accessed 2026-09-30)
- County Property Tax Rates and Reappraisal Schedules, 2025-2026 — North Carolina Department of Revenue (accessed 2026-09-30)
- Current Sales and Use Tax Rates — North Carolina Department of Revenue (accessed 2026-09-30)
- 2026 Application for Property Tax Relief (AV-9) — North Carolina Department of Revenue (accessed 2026-09-30)
- Highlands-Cashiers Hospital — Mission Health (HCA Healthcare) (accessed 2026-09-30)
- Emergency Care, Highlands-Cashiers Hospital — Mission Health (HCA Healthcare) (accessed 2026-09-30)
- About Us, Highlands-Cashiers Hospital — Mission Health (HCA Healthcare) (accessed 2026-09-30)
- About Highlands Biological Station — Highlands Biological Station, Western Carolina University (accessed 2026-09-30)
- Nature Center — Highlands Biological Station, Western Carolina University (accessed 2026-09-30)
- Whiteside Mountain — USDA Forest Service, National Forests in North Carolina (accessed 2026-09-30)