Direct Primary Care & Wellness Space

4 Elements™ Direct Primary Care & Wellness Space has it all! 

An affordable membership-based direct primary care (DPC) practice, a high quality med-spa offering laser treatments and facials, and integrative services such as massage and clinical hypnosis all await you. 

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.

Concierge style care at non-concierge costs!

Direct Primary Care & Wellness Space

4 Elements™ Direct Primary Care & Wellness Space has it all!  A membership-based, direct primary care (DPC) practice, a high quality med-spa offering laser treatments and facials, and integrative services such as massage and clinical hypnosis all await you.  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

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.

Primary Care for
Foreign Visitors

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

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.

Facials & Aesthetics

When you are looking for a
little pampering, come see us! From facials to massages and so much more, we offer a lot.

Body Sculpting

Sometimes, it's hard to get rid of fat in specific areas of your body. We can help you not only remove fat without surgery but also build muscle.

Sometimes, it's hard to get rid of fat in specific areas of your body. We can help you not only remove fat without surgery but also build muscle.​

Massage

Life is tough on all of us. And sometimes, it puts us in knots. Come get some of those knots removed, so life is smooth again.

Life is tough on all of us. And sometimes, it puts us in knots. Come get some of those knots removed, so life is smooth again.​

Laser Hair Removal

We offer a variety of laser skin treatments, including laser hair removal services with our state-of-the-art Cutera lasers.

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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.

"I no longer feel like a number"

Shubha PanduShubha Pandu
22:19 20 Sep 22
Wonderful experience with 4 Elements Direct Primary care. as a first timer. Dr.Vasanth Kainkaryam is wonderful doctor and extremely knowledgeable and the staffs were helpful, kind and professional .From the moment I entered the doors to the office, I felt welcomed, cared for and completely at ease.   Visited medical office for my Immigration Physicals and I will definitely continue my Primary Care with them . I highly recommend this to my family and friends.
Dania EstevezDania Estevez
19:55 05 Sep 22
The moat professional and friendly staff. Three Doctor really knows what he s doing and explains everything in the clearest way. Great for immigration medical exams. They also offer other services. The place is very clean and waiting area is very comfy.
susan liususan liu
12:16 26 May 22
We have an amazing experience at 4 Elements Direct. Dr. Kainkaryam is very professional, smart, and kind. The service are very efficient. He patiently went through every detail with us. The staffs are super nice, friendly, and helpful. I highly recommend them
Dr.Vasanth Kainkaryam is a friendly person.To start with, making an appointment is super easy, as it is fully online. He listens to the patients and explains everything in great detail. The staffs are friendly and easily reachable. Communication with the practice is the highlight as they are very attentive. 10/10. 🙂
Jessica CabanellasJessica Cabanellas
12:55 07 May 22
I recently have been there for my USCIS medical exam. They are amazing, super professional, clean, organized, friendly and quick on replies. I had an appointment on 05/03 and all my results got ready by 05/06, and my second appointment would only be 05/12, so I ask them if they by any chance have an appointment sooner, and they did me a great favor of squeezing me in between patients, so I can send my papers to USCIS. Great experience!!
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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.