The executive health tier, from Fountain Life to the annual assessment programs at major medical centers, costs roughly $8,000 to $23,500 per year and delivers diagnostics without treatment. In a Fountain Life vs executive health cost comparison, Fountain Life's APEX program is commonly reported at around $19,500 to $23,500 annually. Human Longevity's executive health assessment runs about $8,000 as a one-time evaluation. Neither includes an ongoing physician relationship or prescribing. This guide compares what those programs actually deliver against what the flat-fee Cardiometabolic Optimization model delivers. The gap between knowing your numbers and having someone treat them is the entire question.
- Fountain Life APEX is commonly reported around $19,500 to $23,500 per year and Human Longevity's executive assessment around $8,000 one-time.
- Those programs deliver advanced diagnostics and no ongoing treatment relationship, no prescribing and no zero-markup medication.
- Function Health is commonly reported at $365 per year for labs only, with no physician relationship at all.
- The flat $299 monthly fee includes the physician, the quarterly Biomarker Audit and prescribing at pharmacy cost.
- The comparison is not price for price. It is diagnostics alone versus diagnosis plus treatment in one membership.
What the executive health tier actually sells
The appeal is real. Advanced imaging, deep biomarker panels and a day of concentrated attention at an institution that takes prevention seriously. What the tier does not include is a clinician who stays with the numbers and prescribes against them. You leave with a report and a follow-up date a year away and the conditions the report identifies are treated, if they are treated at all, back inside the ordinary healthcare system that produced the symptoms in the first place.
The Fountain Life website describes its APEX program as advanced diagnostics and longevity planning and the pricing is commonly reported in the range of $19,500 to $23,500 per year depending on tier and location. Human Longevity's 100K HealthSpan assessment is commonly reported at around $8,000 as a one-time evaluation. Function Health, the lower-priced tier of this world, is commonly reported at around $365 per year for comprehensive lab panels with no physician relationship at all. We hedge these figures deliberately, because pricing changes and our claim is about the shape of the category rather than any single quote.
What the flat-fee model adds
The comparison is not a discount on the same service. It is a different shape of care.:::table Executive health versus flat-fee membership What you get | Executive health tier | Cardiometabolic Optimization Membership Advanced biomarker panels | Yes, deep panels | Yes, quarterly Biomarker Audit with ApoB, Lp(a), HbA1c and full hormone panels Imaging | Often extensive | Not the core offer Ongoing physician relationship | No or a brief consult | Yes, the clinical relationship is the product Prescribing and medication management | No | Yes, branded medication billed at pharmacy cost with zero markup Annual cost, commonly reported | $8,000 to $23,500 | $3,588 ($598 first charge, then $299 per month) 90-day retesting cadence | Varies, often annual | Built in, four Biomarker Audits per year :::
The row that matters is the prescribing one. A diagnosis that nobody treats is a expensive piece of paper and the executive tier leaves the treatment to someone else. Our model is built around the opposite bet: that the diagnosis and the treatment belong in the same clinical relationship, that the relationship is affordable enough to hold for years rather than days and that the medication, when it is needed, is billed by the pharmacy at cost rather than marked up as a profit center.
The 12-month cost of our membership is $3,588, which is the $598 first charge covering the first two months plus ten months at $299. At 24 months it is $7,176 and includes eight Biomarker Audits. Those are figures we build trust toward rather than a commitment the patient is bound to, because the membership is month to month after the initial two months and cancel anytime.
Who each shape actually fits
The executive health tier fits someone who wants the deepest possible one-time workup and already has a physician they trust to act on it. If that is your situation, it is a reasonable spend and we will say so plainly rather than pretend otherwise.
The flat-fee model fits someone who wants the diagnosis and the treatment in the same hands, wants the numbers retested every 90 days rather than once a year and wants the prescribing to happen without a markup. It also fits the patient whose employer plan or high-deductible arrangement makes an $8,000 assessment impractical and who would rather spend a fraction of that on a relationship that lasts.
The honest critique of the longevity diagnostics industry is not that the testing is bad. It is that testing without treatment has a ceiling and the ceiling is exactly where most chronic metabolic disease actually gets managed or missed. We would rather be the ones who treat.
After the report, who treats what you found and is the medication marked up when they do? A program that cannot answer the second half plainly has built its economics on the part of medicine that comes after the sale.
What it costs, stated plainly
The Cardiometabolic Optimization Membership is one flat $299 per month. The first charge at checkout is $598, which covers the first two months together: the clinical intake, the first quarterly Biomarker Audit with ApoB, Lp(a), HbA1c and the full hormone and thyroid panels and the second month of clinical care while your protocol is built. From month three it is $299 per month, month to month, cancel anytime after the initial commitment.
That fee covers the clinical layer only and stays deliberately separate from the medicine. Any prescription is billed separately by the pharmacy at pharmacy cost with zero markup and no dose-escalation fee. One flat fee for the doctor. Zero markup on the medicine. We make money when you get healthier, not when your dose gets stronger. Clinical care is delivered by licensed physicians of Beluga Health, P.A., an independent Florida professional corporation licensed to practice in all 50 states, working under GoodLife Health's clinical protocols. All labs run through the Beluga Health lab network.
If you want the diagnosis and the treatment in the same hands, start with the eligibility assessment or read the definitive guide to Cardiometabolic Optimization first.
FAQ
How much does Fountain Life cost? Fountain Life's APEX program is commonly reported in the range of $19,500 to $23,500 per year depending on tier and location. Pricing changes, so we hedge the figure and treat it as the shape of the category rather than a quote.
How much is Human Longevity's executive health assessment? Human Longevity's 100K HealthSpan assessment is commonly reported at around $8,000 as a one-time evaluation. It is diagnostic and does not include an ongoing treatment relationship.
What is the difference between executive health and direct primary care? Executive health delivers a concentrated workup and leaves treatment to the ordinary healthcare system. Direct primary care is an ongoing clinical relationship with prescribing and retesting built into the membership rather than sold separately.
Does GoodLife Health include imaging? No. Our core offer is the clinical relationship, the quarterly Biomarker Audit and prescribing at pharmacy cost and we would rather be direct about that than pad the membership with services that sound impressive and change management rarely.
What does the GoodLife Health membership cost per year? Twelve months is $3,588, which is the $598 first charge covering the first two months plus ten months at $299. Twenty-four months is $7,176 and includes eight Biomarker Audits. After the initial two months the membership is month to month and cancel anytime.
Is the medication included in the $299 fee? No. The flat fee covers the doctor and the labs. Medication is billed separately by the pharmacy at pharmacy cost with zero markup, which is a different thing from including it and different from marking it up.
Related guides
- Cardiometabolic optimization: the definitive guide
- Direct primary care versus insurance
- Biomarker audits vs standard blood tests
- Hormone optimization at GoodLife Health
References
- Fountain Life: APEX Program. 2026. fountainlife.com
- Human Longevity: 100K HealthSpan. 2026. www.humanlongevity.com