Access to healthcare services is poor both for adults with intellectual disabilities and for people living in rural areas. Adults with intellectual disabilities in rural areas may therefore be at a double disadvantage. Representative data were analysed from 39 rural and 633 urban participants from Scotland. Information on demographics, healthcare, and access to services were collected from face-to-face interviews and primary care notes. Both direct comparison and binary logistic regression showed the rural sample to have had significantly more contact with primary (odds ratio = 4.02, 95% CI 1.56—10.35, P = 0.004) and secondary health care (OR = 3.93, 95% CI = 1.81—8.55, P = 0.001). Contact with allied healthcare professionals was not significantly different, except that people in the rural sample were significantly more likely to have had recent contact with a dentist and an optician. Contrary to the original hypothesis, adults with intellectual disabilities living in rural areas were not found to be disadvantaged.