Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 3 2019 03 12 508 515 Shahin SOLTANI Research Center for Environmental Determinants of Health (RCEDH), Kermanshah University of Medical Sciences, Kermanshah, Iran AND Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Amirhossein TAKIAN Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran AND Department of Global Health and Public Policy, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran AND Health Equity Research Center (HERC), Tehran University of Medical Sciences, Tehran, Iran Ali AKBARI SARI Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Reza MAJDZADEH Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Mohammad KAMALI Department of Rehabilitation Management, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran 2019 03 12 Background: Reducing inequities in access to healthcare is one of the most important goals for all health systems. Financial barriers play a fundamental role here. People with disability (PWD) experience further financial barriers in access to their needed healthcare services. This study aimed to explore the causes of barriers in access to health services for PWD in Tehran, Iran. Methods: In this qualitative study, we used semi-structured in-depth interviews to collect data and selected participants through purposeful sampling with maximum variation. We conducted 56 individual interviews with people with disability, healthcare providers and policymakers from Sep 2015 until May 2016, at different locations in Tehran, Iran. Results: We identified four categories and eight subcategories of financial barriers affecting access to healthcare services among PWD. Four categories were related to health insurance (i.e. lack of insurance coverage for services like dentistry, occupational therapy and speech therapy), affordability (low income for PWD and their family), financial supports (e.g. low levels of pensions for people with disabilities) and transportation costs (high cost of transportation to reach healthcare facilities for PWD). Conclusion: Financial problems can lead to poor access to health care services. To achieve universal health coverage, government should reduce health insurance barriers and increase job opportunities and sufficient financial support for PWD.      https://ijph.tums.ac.ir/index.php/ijph/article/view/16534 https://ijph.tums.ac.ir/index.php/ijph/article/download/16534/6331