Direct Primary Care & more, reimagined for You

4 Elements™ Direct Primary Care is a membership-based, direct primary care (DPC) practice. That means we work for you. Not for insurance companies or big hospital systems. You. We believe our care and your health should not depend on third parties.

Direct Primary Care & more, reimagined for You

4 Elements™ Direct Primary Care is a membership-based, direct primary care (DPC) practice. That means we work for you. Not for insurance companies or big hospital systems. You. We believe our care and your health should not depend on third parties.

Direct Primary Care & more, reimagined for You

4 Elements™ Direct Primary Care is a membership-based, direct primary care (DPC) practice. That means we work for you. Not for insurance companies or big hospital systems. You. We believe our
care and your health should not depend on third parties.

Quality Care At A Simple
And Affordable Monthly Rate

The unfortunate truth about today’s primary care is that it’s difficult to access and not transparent. We believe modern medicine should still have an old school feel — a real relationship between the doctor and the patient. We make access to your doctor and the entire care experience amazingly simple, all for less than the price of a cup of coffee per day.care and your health should not depend on third parties.

Direct Primary Care

Adult & pediatric medicine,
reimagined in a modern yet
authentic experience with
easy access to your doctor.

Immigration Physicals

Dr. Kainkaryam is a designated
US Civil Surgeon by USCIS and
offers Immigration Physicals in
South Windsor and Rocky Hill.

Foreign Visitors

Navigating the health care
system is hard. Being a
foreign visitor and navigating
it is even harder.

COVID-19 Testing

We offer COVID testing
options for individuals and
employers, and people
looking to travel.

Weight Optimization

A program designed to look at
optimizing weight from a holistic
perspective, including medication-
assisted weight loss. Create your
personal journey.

A program designed to look at optimizing weight from a holistic perspective, including medication-assisted weight loss. Create your personal journey.

Aesthetic Medicine & Massage

When you are looking for a
little pampering, Aesthetic
Medicine by 4 Elements™ is
your place to go for everyone
(guys, you too)!

Education & Training

This is our teaching branch of our
practice, and includes a unique one
-year paid position for international
medical graduates to learn about
the US health care system first hand
while working in the office setting.

This is our teaching branch of our practice, and includes a unique one-year paid position for international medical graduates to learn about the US health care system first hand while working in the office setting.

"I no longer feel like a number"

I love the concept of direct primary care because I no longer feel like a number… Dr. K takes his time in getting to know his patients so he can help them the best he can. Having access to him and not wondering how much it will cost me through insurance is a HUGE bonus. - RC

Direct Primary Care is a new model that prioritizes the physician-patient relationship. This shouldn’t sound very “new”; it’s actually more similar to the way health care used to be. Instead of the fee-for-service model, where you may be charged copays or unexpected office visit charges, direct primary care uses a membership model to allow you to spend time with your doctor, both in person and online, reduce the cost and burden of health care, and cut down on wait times.

It’s a simpler approach to care, so that you can get what you need, when you need it.

Access, simplicity, transparency, quality. Think of DPC as having a true partner in your health journey. Anytime you need access or even have a quick question, you can very easily come in person, do a virtual visit, call us, email us, and yes, even text us at any time. Because we have a direct relationship, without insurance companies or other third parties between us, our service and pricing is simple. No surprise bills, or codes and charges you don’t understand. This enables us to be 100% transparent. Our incentives are aligned so that we are thoughtful about tests and referrals. And we finally have time together. No more 5-minute visits where the doctor barely knows your name and rushes you out. High quality care means spending time with patients to more thoroughly listen and learn about their health and goals.

 

We do not bill insurance, but you can still join our practice if you have it. This allows us to keep the pricing of our services simple and transparent to our members – no network, co-pay, pre-auths, denials, deductibles, restrictions, codes. You can still use your insurance for other medical practices, pharmacies, and hospital visits. You can also use insurance for your labs, imaging, and medications as well. However, we are able to negotiate directly with many vendors from these companies to offer discounted rates on these services to our members. Some patients prefer not to bill their insurance for these as a result.

Health insurance is not health care, and DPC is the latter. 80-90% of your health care needs can be managed by a Primary Care Physician (PCP), but it’s a good idea to have coverage for major events like hospital visits, surgeries, etc. – whether that is traditional insurance or an alternative like medical cost sharing. Insurance may actually make primary care more expensive.

Membership fees are charged monthly to your payment method of choice (bank account, credit, or debit card).

 

Yes, of course. This is a monthly membership with no long-term contracts. But the point of DPC is not to sign up only when you need it nor cancel it when you don’t. DPC works best when you believe this is the best care model for you and your family, and you have a long-term relationship.