Adsorption has proven to be most effective for arsenic removal. But standalone adsorption cannot cater to the need for large-scale treatment in centralized water supply systems. Combining adsorption with other low-pressure membrane processes may aid in scaling up and intensifying the overall arsenic removal. In the present pilot study, a low-cost laterite-derived adsorbent (LDA) has been used in combination with cross-flow ultrafiltration (Ads-UF) to develop a strategy suitable for remediation of arsenic-contaminated water. Effect of adsorbent particles on permeate flux has been assessed at different transmembrane pressure (0.2–0.6 MPa). Two different hybrid configurations, with and without intermediate sand filtration (SF), i.e. Ads–SF–UF and Ads-UF, were considered. Resistance-in-series and combined complete pore block-cake layer models have been used to understand the flux profiles. In the case of arsenic-spiked groundwater, it was observed that flux decline, at 0.6 MPa, was 28% higher with Ads-UF during a 12 h run compared to Ads–SF–UF. Spent LDA retrieved from the sand column was found to retain the elemental composition as that of the unused LDA (as per FT-IR and EDX) and was considered safe for disposal based on Toxicity Characteristic Leaching Procedure (TCLP). Cost estimation for a facility with 200 m3/day treatment capacity has also been presented.