Immigration Medicine & Visitor Primary Care
But in addition, Dr. Kainkaryam has a special primary care model to be able to take care of Visitors from other countries! Often times, Travel Insurance doesn’t cover pre-existing conditions. But we can help keep your relatives healthy and identify issues before needing to seek high cost care in US hospitals and Emergency Rooms!
Immigration Medicine & Visitor Primary Care
Dr. Kainkaryam is a USCIS recognized Civil Surgeon, and is authorized to perform I-693 Immigration Medical Examinations for individuals applying for their Permanent Resident (Greencard) status.
But in addition, Dr. Kainkaryam has a special primary care model to be able to take care of Visitors from other countries! Often times, Travel Insurance doesn’t cover pre-existing conditions. But we can help keep your relatives healthy and identify issues before needing to seek high cost care in US hospitals and Emergency Rooms!
Direct Primary Care & more, reimagined for You
4 Elementsâ„¢ 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.

I-693 Immigration Medical Exams
Dr. Kainkaryam is a designated US Civil Surgeon by USCIS and offers Immigration Physicals in South Windsor and Rocky Hill.

Primary Care for International Visitors
Your doctor away from home! Adult & pediatric medicine, reimagined in a modern yet authentic experience with easy access to your doctor and combining integrative modalities

Quality Medical Care that is Affordable for Immigrants and Visitors
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.
An immigration medical exam is a medical examination that is required for individuals who are seeking to immigrate to a new country. The purpose of this exam is to ensure that the applicant is not carrying any communicable diseases or illnesses that could pose a public health risk. The exam is typically conducted by a designated physician authorized by the government of the country where the applicant is seeking to immigrate. The exam will typically include a physical exam, blood tests, and other diagnostic tests as needed. The results of the exam will be documented on a medical report form which will be submitted as part of the applicant’s immigration application.
While the exam itself is not covered by health insurance, the labs and the screening tests may be covered if you have health insurance all depending on your insurance carrier. You will have to reach out to them directly to ask about coverage. For those who don’t have insurance or choose not to use insurance, we have direct pay rates that are affordable.
Once you register, you will receive a link to a video and document to help you prepare for the exam. Our booking process is completely electronic and we will help guide you through the process.
Travel health insurance is for unpredictable high cost expenses for visitors, and usually does not cover pre-existing conditions. Through our unique membership for visitors, we offer affordable primary care services for your family members so that while they are in the US, they can have access to a doctor who can help navigate the health care system and help potentially avoid unnecessary high cost expensive care. Â