- An executive health physical is a dense one-time assessment. It finds things. It does not treat them.
- A concierge membership pairs ongoing clinical care with quarterly Biomarker Audits, which is what turns findings into outcomes.
- The two can complement each other, but only one of them continues after the report lands.
- Our flat $299 monthly fee covers the clinician and the labs. The medicine, if any, is billed separately by the pharmacy at cost.
Weighing an executive health physical vs concierge membership can sound like a luxury question. It is really a question of follow-through. An executive health program produces a thick report and then hands it back to you. What happens next is the part that determines whether the money was worth spending. A concierge membership keeps the same clinician on those findings, with a Biomarker Audit every 90 days.
What an executive health physical actually includes
A typical executive health program packages advanced imaging, an extensive lab draw, a cardiopulmonary exercise test, a specialist consult or two and a same-day summary. The experience is usually excellent. Parking is easy, the day is organized, the report arrives beautifully bound.
What it does not include is a clinician who owns the follow-up. You leave with findings. Somebody else has to decide what those findings mean for your actual prescriptions, your hormone dosing, your ApoB target and your next three months.
What a concierge membership adds
A concierge model is not a fancier physical. It is a different relationship. Your clinician sees the panel, prescribes against it and retests every 90 days. When the executive physical finds a nodule, a high Lp(a) or a thyroid number at the edge of normal, there is already a doctor in your corner who has been reading your data for months and can act on the new finding without starting from zero.
| Dimension | Executive health physical | Concierge membership |
|---|---|---|
| Frequency | Usually annual, sometimes biennial | Continuous, with 90-day audit cadence |
| Clinical depth | Broad diagnostic sweep | Deep longitudinal context on the same patient |
| Follow-up ownership | Handoff to your PCP | Owned by the same clinician |
| Prescribing | Limited to what the assessment day supports | Full GLP-1, hormone and cardiometabolic prescribing |
| Typical cost | $5,000 to $25,000 per assessment | $299 per month flat, plus pharmacy cost on any medicine |
Where executive physicals genuinely add value
We are not here to dismiss the format. Advanced imaging, a coronary calcium score and an exercise capacity test can surface things a routine visit misses. If you have access to a good program, the diagnostic breadth is real and can be a useful input.
The question is what happens to those inputs. A high ApoB on an executive report still needs someone to order the follow-up panel, prescribe against it and recheck in 90 days. A thyroid nodule still needs someone to manage it over months. The physical is a snapshot. Snapshots need a photographer who comes back.
A worked example of the follow-through gap
Consider a patient we will describe without identifying details. His executive physical found a coronary calcium score of 41, an ApoB of 112 mg/dL and an Lp(a) above the 95th percentile. The report recommended follow-up with his physician. His physician had a six-week wait and a fifteen-minute slot.
Six months later nothing had been prescribed, nothing had been rechecked and the report sat in a downloads folder. This is not a criticism of anyone in that chain. It is what the model produces when the diagnostic event and the treatment relationship live in different places.
In our membership the same three findings would have landed in front of the same clinician who had already seen two prior audits. The statin conversation, the Lp(a) context and the repeat panel would have been managed on the standard cadence, inside the flat fee, with the medicine billed at pharmacy cost. The findings were excellent. The gap was in who owned them.
The cost comparison, honestly stated
Executive health programs typically run from roughly $5,000 to $25,000 per assessment depending on the institution and the imaging package. We hedge those numbers because pricing varies widely across programs and by region. A concierge membership at $299 per month costs $3,588 over twelve months with four Biomarker Audits included and no per-visit fees.
Those are different products. The physical is a dense event. The membership is a relationship. Patients who get the most from an executive physical tend to be members somewhere as well, because the report needs a clinician who will act on it.
The comparison gets sharper over time. The physical costs the same whether you have one or not and most patients have one. The membership costs the same whether your panel is clean or complicated, which changes what the clinician can afford to do when the results are bad. A model that bills per visit has a reason to keep visits short and findings shallow. A flat fee has no such reason.
What longitudinal data catches that a snapshot cannot
A single draw tells you where you are. Four draws a year tells you where you are going and the difference is where most early disease lives.
An A1c of 5.7 on one draw is a shrug. An A1c that moved from 5.4 to 5.7 in nine months is a trend that deserves a response today. An ApoB of 95 on one draw is borderline. An ApoB that climbed from 80 to 95 across two audits while weight held steady is a conversation about what changed. None of those conversations happens on an annual snapshot, because a snapshot has no direction.
This is the structural argument for the audit cadence and it is the one we would want a skeptical patient to weigh. The Biomarker Audit is not a luxury layered on top of care. It is the mechanism by which care stays honest between visits.
The follow-through gap
The most expensive lab result is the one nobody acts on. A report that sits in a drawer while your insulin resistance progresses is not preventive care. It is a receipt for a day of testing.
Our model was built around this gap. Quarterly Biomarker Audits exist so that nothing on a lab panel waits twelve months for attention. If the executive physical found something, the membership is where that finding becomes a treatment plan rather than an observation.
Who each model fits
If you want a dense diagnostic event and already have a clinician you trust with the results, an executive physical is a reasonable purchase. If you want the clinician, the prescribing, the lab cadence and the follow-through in one place, the membership is the better fit. Many patients combine them and the membership is what makes the executive physical worth its price.
Frequently asked questions
Is a concierge membership a substitute for an executive physical?
Not exactly. The physical is a dense diagnostic event. The membership is an ongoing clinical relationship. They answer different questions and the membership is what turns physical findings into actual treatment over the following months.
Which is more expensive over a year?
Executive programs typically run from roughly $5,000 to $25,000 for one assessment. A year of our membership is $3,588 with four Biomarker Audits included and no per-visit fees. The medicine is billed separately by the pharmacy at cost.
Can a concierge clinician act on executive physical results?
Yes and that is one of the strongest cases for pairing them. A finding on a report is only useful once a clinician owns the follow-up panel, the prescription and the recheck cadence.
Does the membership include advanced imaging?
Our protocols focus on advanced lab biomarkers and clinical care. Advanced imaging is usually ordered separately through the appropriate specialist or imaging center and your clinician helps interpret and act on whatever it finds.
What if I only want the labs, not the ongoing care?
Labs without a clinician produce findings without outcomes. Our model is built around the pairing and we would rather tell you that plainly than sell you a panel nobody will read next quarter.
Does the membership replace my primary care doctor?
It replaces the relationship for the cardiometabolic, weight and hormone care we deliver, which is precisely what most primary care practices have the least time for. We work alongside your other physicians rather than replacing them.
How fast can I be seen?
Appointments are virtual, licensure covers all fifty states and there is no referral chain. Most patients are seen quickly, which is part of what they are paying for.
Is the first charge really $598?
Yes. It covers the first two months combined, including the first Biomarker Audit, the clinical intake visit, the second month of clinical care and the clinical protocol. From month three it is $299 per month, cancel anytime.
Related guides
- Cardiometabolic optimization: the definitive guide
- Lp(a) blood test: what a high result means
- Direct primary care
- Aligned medicine, explained
Sources
References
- Tirzepatide Once Weekly for the Treatment of Obesity (SURMOUNT-1). 2022. pubmed.ncbi.nlm.nih.gov/35658024/
- Once-Weekly Semaglutide in Adults with Overweight or Obesity (STEP 1). 2021. pubmed.ncbi.nlm.nih.gov/33567185/