Background <p>Women with disabilities are susceptible to compounded discrimination based on gender and disability, which can constrain healthcare access and worsen health outcomes. Quantitative evidence on determinants of unmet healthcare needs in Women with disabilities remains limited. This study aimed to identify predictors of unmet healthcare needs among women with disabilities and to provide evidence to inform improvements in healthcare accessibility.</p> Methods <p>We conducted a cross-sectional analysis of 2873 Women with disabilities from the nationally representative 2023 Survey of People with Disabilities in Korea. Guided by Andersen’s Behavioral Model of Health Services Use, we examined predisposing, enabling, and need factors associated with unmet healthcare needs using descriptive statistics, chi-square tests, and multivariable logistic regression.</p> Results <p>Among women with disabilities, the prevalence of unmet healthcare needs was 19.7%. The most common reasons were difficulty traveling to healthcare facilities (41.2%) and financial constraints (25.8%). In multivariable analysis, the odds of experiencing unmet healthcare needs were higher among those with lower household income, physical disabilities, severe disability, dependence in instrumental activities of daily living (IADL), poor self-rated health, experience of depression, difficulty using transportation, and inability to go out alone.</p> Conclusions <p>Women with disabilities experience high rates of unmet healthcare needs. Limitations in daily living due to physical disability, low socioeconomic status (SES), and mental health vulnerability emerged as major factors underlying unmet healthcare needs among women with disabilities. Integrated policies addressing financial barriers, healthcare accessibility, and women’s health are needed to meet the unique needs of women with disabilities.</p>