Hematologist
CION Cancer Clinics
Haemophilia schemes and free factor in India | CION Cancer Clinics
Yes, clotting factor is free in India for people with haemophilia, supplied by state governments under the National Health Mission. You get it by registering at a government haemophilia treatment centre with a factor assay report. Stock, products and newer medicines vary between states and change over time. This guide explains registration, what is usually covered, and the other schemes that help. At CION Cancer Clinics, our haematologist cares for anaemia, bleeding, clotting and inherited blood disorders, with ArogyaSri, CGHS and cashless insurance accepted.
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Medically reviewed by Dr. Basudev PokhrelConsultant Haematologist · last reviewed September 2026, next review due September 2027
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The short answer
Can you get clotting factor free in India?
Yes. Under the National Health Mission, state governments supply clotting factor free of charge to people with haemophilia who are registered at a government haemophilia treatment centre. In Telangana and Andhra Pradesh, these centres are usually in government medical college hospitals.
Why registration matters more than anything else
Free factor is tied to your name on a state register. Without it, a hospital cannot release stock to you, however urgent the bleed. So the first job for any newly diagnosed family is to get registered, carry the card, and keep copies of the diagnosis report at home and on your phone.
What it does not promise
Supply depends on each state's budget and purchasing. Stock can run short, the product given may change between visits, and some centres give factor only for a bleed rather than regular preventive doses. Newer medicines are covered in some states and not others. The rules change, so always check the current position with your centre.
This page describes how the system usually works. It is not a statement of any state's current rules or stock.Getting registered
How do you register for free factor?
Confirm the diagnosis
You need a factor assay report showing which factor is low (VIII for haemophilia A, IX for B) and the severity. A bleeding history alone is not enough to register.
Find the nearest centre
Ask the haematology or paediatrics department of the nearest government medical college hospital, or your local Haemophilia Society chapter, which centre serves your district.
Take your papers
Carry the factor report, Aadhaar, address proof, photographs, and any inhibitor test result. For a child, bring a parent's ID too.
Collect the card
The centre enters your details on the state register and gives you a haemophilia card. Show it at every hospital, every time.
Not sure whether this applies to you?
Ask an oncologistOther support
Which other schemes can help your family?
Free factor covers the medicine. These cover the hospital stays, surgery and daily life around it.
Aarogyasri and PM-JAY
State and central health insurance can cover admissions, joint surgery and some procedures at empanelled hospitals. Check whether factor during a planned operation is included or comes from the state programme.
CGHS, ECHS and EHS
Central government, ex-servicemen and Telangana employee schemes cover treatment at listed hospitals. Ask the scheme office how factor is reimbursed before a planned procedure.
Disability certificate
Haemophilia is listed under the Rights of Persons with Disabilities Act. A certificate, assessed at a government hospital, can open education, travel and job benefits.
Eligibility depends on the assessment, not on the diagnosis alone.Cashless insurance
Private policies may cover admissions for a bleed or surgery. Read the pre-existing condition clause and waiting period in your own policy before you rely on it.
Covered and not covered
What does the free programme usually cover?
Usually free at a government centre
Often not included, or varies by state
Factor VIII and IX for bleeds
Regular preventive doses at home, in some states
Bypassing agents for inhibitors, where stocked
Newer non-factor medicines such as emicizumab
Basic factor level testing at the centre
Genetic tests for the family
Physiotherapy advice at larger centres
Travel to the centre, and private hospital stays
Leave a number, we will call you
One field. No form to fill in, and no charge for the call.
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A serious bleed cannot wait for paperwork
A head injury, however minor it looks, a bleed in the throat or neck, severe tummy pain, or a bleed that will not stop needs care now. Go to the nearest emergency department or call 108, and say the person has haemophilia. Take the card and any factor you have at home. Sort out the scheme afterwards.
Commonly believed
What do families get wrong about free factor?
"Free factor is only for poor families with a BPL card."
In most states the programme is for anyone with confirmed haemophilia who registers, whatever their income. Some states do ask for more papers. Ask your centre rather than assuming you will be refused.
"If the centre has no stock, we should just wait at home."
A bleed treated late does more damage to joints and muscles. If there is no stock, ask the centre where it can be obtained, call your Haemophilia Society chapter, and go to an emergency department for a serious bleed.
"Once registered in one state, you can collect anywhere."
Registers are run by states, so moving for work or study can mean registering again. Carry your card and reports, and ask your old centre for a transfer letter before you move.
"We can save factor by using less on each bleed."
Never change the amount or timing on your own. Too little may not stop the bleed. The treating team sets it, and will adjust it if supply is a problem.
Being straight with you
What if the centre is far or supply keeps failing?
Talk to the centre before a crisis. Many families in districts far from Hyderabad are allowed to keep some factor at home, once someone in the family has been trained to give it. Ask whether this is possible for you.
Ask these questions at the centre
Which products are in stock, and who do I call when they are not? Can my child's school or my local hospital be given a letter about the condition? Is there a nearer district hospital that holds stock? Is my child eligible for regular preventive treatment, or only treatment for bleeds?
What this page cannot tell you
It cannot tell you the current rules or stock in your state, or whether a newer medicine is covered this year. Those change, and only the centre or the state health department can confirm them. CION's haematology team can review your reports, explain the diagnosis and severity, and help you work out which scheme and centre to approach next.
Questions we are asked
Common questions about free factor schemes
Is emicizumab given free under the scheme?
In some states it has been added for certain groups, often children or people with inhibitors. In others it is not yet part of the free programme. Ask your registered centre what applies today, because states review this. Do not switch from factor to any new medicine without your haematologist.
Can adults register, or is it only for children?
Adults can register. The programme is for people of any age with confirmed haemophilia. Adults diagnosed years ago sometimes need a fresh factor report if the old one is lost or unclear, so bring whatever papers you have to the first visit.
Does the scheme cover von Willebrand disease?
Some state programmes include von Willebrand disease and rarer factor deficiencies, and some do not. Coverage also depends on which products the state buys. Ask the haemophilia centre directly, and carry your diagnosis report so they can check your eligibility.
We live in a district. Must we travel to Hyderabad each time?
Not always. Some district hospitals now hold stock, and some centres allow trained families to keep factor at home. Ask your registered centre what is possible for you. For a serious bleed, go to the nearest emergency department first.
Will Aarogyasri pay for joint surgery in haemophilia?
It may cover the operation at an empanelled hospital, but the factor needed around surgery is large and planning matters. Ask the scheme desk and the haemophilia centre together, before a date is fixed, who will provide the factor.
What if I have inhibitors?
Inhibitors are antibodies that stop factor working. You need a different treatment, called a bypassing agent, which some centres stock and others must order. Tell every hospital about the inhibitor, and ask your centre in advance where that medicine can be reached quickly.
Does registering cost anything?
Registration at a government centre is normally free, though you may pay for travel, photographs and some tests done outside. If anyone asks for money to put your name on the register, check with the hospital superintendent or your Haemophilia Society chapter.
Can CION give us free factor?
No. Free factor comes only through the state programme at registered government centres. CION's haematology team can review your reports, explain the diagnosis, and help coordinate care with the right centre, so the free supply and any private care work together.
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Sources
- National Health Mission, Government of India — National Health Mission
- National Health Authority — Ayushman Bharat PM-JAY
- National Heart, Lung, and Blood Institute — Hemophilia
- American Society of Hematology — Hemophilia
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.
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Related pages
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Not sure which scheme or centre applies to you?
Send us the diagnosis report. Our haematology team will explain it and help you work out where to go next.