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CION Cancer Clinics
Getting haemophilia factor free, and what to do when it runs short | CION Cancer Clinics
Yes, haemophilia factor is supplied free in most Indian states, through government hospitals and designated haemophilia centres. You need a confirmed diagnosis and registration first. Stock, the type of factor and home supply vary by state and centre. This page explains how to register, what may be supplied, where Aarogyasri, PM-JAY and insurance fit, and what to do in a bleed. At CION Cancer Clinics, our haematology team supports patients and families through treatment, cost questions and life at home.
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Medically reviewed by Dr. Basudev PokhrelConsultant Haematologist · last reviewed September 2026, next review due September 2027
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On this page
- Can you get haemophilia factor free in India?
- How do you register for free factor?
- Which treatments might a government centre give?
- What do families wrongly believe about free factor?
- How does government supply compare with buying factor privately?
- What can this page not tell you?
- Common questions about free haemophilia factor
!
If there is a bleed right now
A head injury, a bleed in the neck, throat or belly, blood in vomit or stool, or a swollen, hot, painful joint needs help today. Go to the nearest emergency department or call 108. Say the person has haemophilia and show the haemophilia card. If your team has given you a written home plan and trained you to use factor, follow that plan, but still go in. Scheme paperwork can wait until the bleeding is under control.
The short answer
Can you get haemophilia factor free in India?
Yes, in most states. Clotting factor for haemophilia is supplied free through government hospitals and designated haemophilia centres, funded by state health departments with support from the National Health Mission. To receive it, the person must be diagnosed and registered.
What factor is, in plain words
Haemophilia is an inherited condition in which the blood is missing a clotting protein. In haemophilia A it is factor VIII. In haemophilia B it is factor IX. Factor concentrate replaces the missing protein through a drip or injection into a vein, so a bleed can stop. Without it, bleeding into joints and muscles causes pain, and over time the joints are damaged.
Why free supply matters so much
Factor is among the most expensive medicines a family can face. Paying privately for every bleed quickly drains savings, and families often wait too long because of the cost. Free supply means a bleed can be treated early, which protects the joints.
What it does not mean
Free supply is not the same as unlimited supply. Stock, the type of factor and whether you can keep it at home all vary between states and between centres, and can change during the year.
Scheme rules change. Ask your registered centre what it supplies today rather than relying on what a relative was told earlier.The pathway
How do you register for free factor?
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Confirm the diagnosis
A factor level blood test, called a factor assay, confirms whether it is haemophilia A or B and how severe it is. Bring the report, because centres usually will not register someone without it.
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Check for inhibitors
Some people develop inhibitors, antibodies that stop factor from working. The test result changes which treatment the centre supplies, so ask whether it has been done.
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Register at a designated centre
Take the reports, Aadhaar, address proof and photographs to the government hospital or haemophilia treatment centre your state has named. Patient societies linked to the Haemophilia Federation (India) can tell you which centre serves your district.
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Receive the haemophilia card or booklet
This records the type, severity and inhibitor status. Every time factor is given, it is entered. Keep it with you and a photo on your phone.
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Agree how you will get factor
Some centres give factor only when you come in with a bleed. Others allow a supply at home, or regular preventive doses. Ask which applies, and who to call out of hours.
Leave a number, we will call you
One field. No form to fill in, and no charge for the call.
What may be supplied
Which treatments might a government centre give?
The type depends on your diagnosis and on what your state has bought. The treating doctor decides which one, and how much.
Plasma-derived factor
Made from donated plasma and carefully treated for safety. It is the most widely stocked type in government supply.
Recombinant factor
Made in a laboratory rather than from donated blood. Some states stock it, often for children or for people starting treatment.
Bypassing agents
Used when inhibitors stop ordinary factor from working. They are costly and supply is less predictable, so plan with the centre early.
Needs an inhibitor test on record.Emicizumab
An injection under the skin used to prevent bleeds in haemophilia A. A few states have begun supplying it for selected patients. It does not treat a bleed that has already started.
Not suited to
- Haemophilia B
Commonly believed
What do families wrongly believe about free factor?
"We will wait until the swelling is bad, then go for free factor."
Waiting is what damages the joint. Treating a bleed at the first tingling or stiffness usually needs less factor and settles faster. Ask your centre how to reach them quickly when a bleed starts.
"Free factor is only for children."
Adults are covered too. Many adults stopped attending years ago and never registered. They can still register now, with a diagnosis report, and joint problems are worth reviewing at the same visit.
"If the centre has run out, we just have to manage."
Ask the centre where stock is available, and contact your local haemophilia society, which often knows. In a serious bleed, go to the emergency department anyway. Do not delay care while you search for factor.
"A daughter cannot be affected, so she does not need testing."
Girls and women can carry the gene, and some carriers have low factor levels and bleed more than usual. A factor level test before surgery, childbirth or heavy periods is sensible.
Side by side
How does government supply compare with buying factor privately?
Government centre
Private purchase
Free after registration
Paid by you unless a scheme or policy covers the admission
Type depends on what the state has bought
Wider choice, if the doctor agrees it suits you
Stock can run short at times
Usually available, at a high price
You travel to the centre unless home supply is allowed
Can be given nearer home under a doctor's care
Being straight with you
What can this page not tell you?
This page cannot tell you what your centre has in stock this week, or how much factor anyone should receive. Those are decided by the treating doctor and the centre, and never by a website.
Surgery, dental work and admissions
A planned operation or a tooth extraction needs factor cover arranged in advance. When treatment happens at a private hospital, ask whether Aarogyasri, PM-JAY, CGHS, ECHS, EHS or your cashless insurance covers the admission and the factor used, and check the current package rules with the scheme helpline. Coverage for factor itself differs between schemes.
Other papers worth having
Haemophilia is listed under the Rights of Persons with Disabilities Act. A disability certificate is separate from the haemophilia card and can open further state benefits.
Where CION fits
CION does not supply factor. The haematology team, led by Dr. Basudev Pokhrel, can review the diagnosis reports, check that the inhibitor test and joint assessment are on record, and help you reach the designated centre that serves your district.
Any private cost quoted to you is an estimate, not a promise. Ask for it in writing before treatment.Questions we are asked
Common questions about free haemophilia factor
Where do we get free factor in Telangana or Andhra Pradesh?
Each state names government hospitals and treatment centres that register patients and hold stock. The list can change. Ask the district medical officer, a government teaching hospital's haematology or medicine department, or your local haemophilia society, and confirm which centre serves your address before you travel.
Can we keep factor at home?
Some centres allow it once the family has been trained to store it correctly and give it safely, and has a written plan. Others supply it only at the centre. Ask directly. Home supply helps a bleed get treated early, but it still needs the centre's records kept up to date.
What documents are needed to register?
Usually the factor assay report confirming the type and severity, any inhibitor test, Aadhaar, proof of address and photographs. Some centres ask for a referral letter. Take originals and copies. If a report is missing, ask the centre whether they can repeat the test rather than turning you away.
Is emicizumab free?
Only in some states, and usually for selected patients with haemophilia A, often those with inhibitors or frequent bleeds. Whether it suits you is a decision for the treating haematologist. Ask your centre whether your state supplies it, and never change or stop current treatment while you wait to find out.
Does insurance pay for factor?
Most health policies pay for factor used during a hospital admission, within policy limits. Factor used at home is often not covered. Haemophilia present from birth may fall under pre-existing condition rules. Read the policy wording, and ask the insurer in writing before a planned procedure.
The centre says factor is out of stock. What now?
Ask when stock is expected and whether a nearby centre has supply. Your local haemophilia society often knows. If there is an active or serious bleed, go to the emergency department or call 108 straight away. Do not wait at home for stock to arrive.
My brother has haemophilia. Should my children be tested?
It is sensible to talk to a haematologist. Sons of a carrier mother can be affected, and daughters may carry the gene. Testing a boy before any surgery or circumcision, and a girl before childbirth or surgery, avoids unexpected bleeding. Genetic counselling helps the family plan.
Can CION help an adult who stopped attending a centre?
Yes. Bring whatever old reports you have. A haematologist can arrange the tests needed to register again, look at joints that have been damaged, and point you to the government centre for your district. Consultations at CION are private care, so ask the helpline about charges and schemes first.
What moves the figure
What affects the cost
Four things change the total more than anything else.
The technique used
A shaped or image-guided delivery costs more than a conventional one, and is chosen on clinical grounds rather than preference.
How many sessions
The total is driven by the number of sittings or cycles, not by a single per-visit figure.
Supporting tests
Scans, blood work and pathology done alongside treatment are billed separately.
Your cover
Aarogyasri, CGHS, ECHS, EHS or cashless insurance usually change the out-of-pocket figure substantially.
Paying for it
Insurance, schemes and payment
What you actually pay usually differs a great deal from the sticker figure.
AarogyasriEmpanelled. Bring the card and a referral where you have one.
CGHS / ECHS / EHSAccepted at CION centres for eligible treatment.
Cashless insuranceMost major insurers are empanelled. Pre-authorisation is handled by our desk.
Self-payItemised estimate given before treatment starts. No EMI scheme exists.
Accreditation and empanelment
- NABH
- NABL
- ISO 9001:2015
- ArogyaSri empanelled
- CGHS accepted
- ECHS accepted
- EHS accepted
- Major cashless insurers
Your Haematologist
Meet CION's haematologist. One specialist for your blood report and your plan.
Dr. Basudev Pokhrel reviews blood counts, transfusion needs and blood disorders, and works with the CION tumour board on blood cancers.
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Where to find us
Our centres in and around Hyderabad
Addressed by landmark, because that is how this city navigates. A haematology consultation can be booked at any of these centres through one helpline, and your team will tell you where each test or treatment takes place.
Warangal
Vizag
Sources
- World Federation of Hemophilia — What is hemophilia?
- NHS — Haemophilia
- NHLBI — Hemophilia
- National Health Mission — National Health Mission
This page is general information, not a prescription. Do not change or stop any treatment based on what you read here. If anything is worrying you, contact your own treating team — or call our helpline and we will help you reach the right specialist.
Keep reading
Related pages
Costs, Schemes and Access for Blood DisordersEvery scheme and cost guide for blood disorders in one placeDisability Certification for Blood DisordersThe certificate that opens further state benefitsInsurance for Chronic Blood DisordersWhat a policy may pay for during an admissionBlood Bank Charges and Replacement RulesIf plasma or blood products are needed in hospital
Talk to us
Need help registering for factor?
Share your reports or call the helpline. A haematologist will check what is on record and point you to the right centre. One helpline serves every CION centre.