How It WorksMembershipsCIMTThe EvidenceAboutBook a Consultation
Longevity Science

Best Executive Physical: Choose Depth and Follow-Up

16 min read
AL

Andrew Le, MD

Andrew founded Renew Health to change how cardiovascular disease is detected and treated.

Direct answer: Best means depth plus follow-through. Renew's answer to what an executive physical should include is a full physical: arterial imaging, with CIMT as the anchor of the arterial story, advanced lab panels testing for 33 known drivers of arterial damage, DEXA body composition, VO2 Max testing, and a physician. Performance at $999/mo is primary. Executive at $5,000/mo is secondary.

Scientific figure of executive arterial screening with CIMT. Panel A: carotid ultrasound probe on the neck. Panel B: vessel wall layers labeled lumen (inside), intima, media, and adventitia (outermost); intima-media thickness bracket spans intima and media only and excludes adventitia. Panel C: optional plaque at the carotid bifurcation. Panel D: CIMT plus plaque findings and labs flow to clinician review, then a personalized prevention plan.
Created with BioRender.com (Industry).

What "best" should mean

You look up best executive physical after a brochure, a colleague, or an employer has already named a famous program. Ask a narrower question. Best for which job?

Three jobs get mixed together:

  1. Logistics. One coordinated block of time, privacy, and a written summary before you fly home.
  2. Depth. Tests chosen for your age, sex, and risk, read by a clinician who will say what matters.
  3. Follow-through. Someone owns the plan after the binder is closed, and something is re-measured later.

A program can win the first job and leave the second and third to your local clinician. That can be the right purchase if you already have a physician who will treat what comes back. It is a weak purchase if you came looking because of silent arterial disease and you will not look again until next year.

A brand name tells you about coordination and specialist access. It tells you little about whether your arterial wall is changing. This page does not publish a winner among hospital programs.

For the plain definition of the visit, see what is an executive physical. For how Renew packages the same intent, see executive physical.

Prestige exam day versus follow-through

Large centers publish their format. Read that page before you compare programs.

Question to ask Exam-day prestige program Renew Performance / Executive
How is time sold? Cleveland Clinic: about six to eight hours. Mayo Clinic: a 1-to-3-day itinerary Monthly membership, all year
What is the product? Coordinated exams, tests, and consults in one stay A full physical: CIMT as the anchor of arterial imaging, advanced labs, DEXA, VO2 Max, and a physician
Who owns the next month? Often your local clinician, or a later return visit The membership physician and care team
How do you judge "best"? Written itinerary, interpretation, and a handoff Repeat measurement under a physician, including imaging, labs, DEXA, and VO2 Max

Mayo Clinic's experience page says each visit begins and ends with physician time, and that the visit itself is annual, with a newsletter and speaker series between visits. Mayo's FAQ flyer states the program is not an around-the-clock year-round concierge membership. Cleveland Clinic tells you to plan on a full day, with optional imaging that can extend the stay.

Those pages describe a short itinerary honestly. That description is not a head-to-head outcomes trial against membership care. We do not claim Renew produces better clinical results than Mayo Clinic or Cleveland Clinic.

A checklist before you book

Use this list with any program, including ours. Ask for answers in writing.

  1. What is on the base itinerary, and what is optional? Cleveland Clinic uses "may include" language. Mayo Clinic uses an age- and gender-based protocol plus physician-added and optional services. If a clinic will not write the list down, you cannot compare it.
  2. Who interprets abnormal results before you leave, and who treats them after? A portal PDF is not a plan.
  3. What is the handoff? Mayo Clinic requires a local primary care clinician for day-to-day needs and, with your permission, can share the visit with that clinician. Confirm the same question locally.
  4. What will be repeated, and when? Some programs publish an annual return. That calendar date does not set the right interval for every marker.
  5. What is the cash exposure if insurance pays little? See executive physical cost and does insurance cover an executive physical.
  6. Are you being asked to self-read a number? Wall thickness in millimeters, a letter grade, or a color on a report is not a self-diagnosis. A clinician should explain it.

If you are really asking which building is closest, use executive physical near me. If the employer is paying, use corporate executive physical.

How Renew fits the checklist

Illustrated DEXA body composition scan. A person lies face up on a padded DEXA table with arms at the sides while the scanner arm extends over the body, and a technologist at a workstation watches the scan image. Labels: scanner arm, lies face up (supine), technologist workstation, and padded scan table with the low-dose X-ray source under the pad. A side panel lists what the scan reports: lean mass, fat mass, visceral fat, and bone mineral density.
Scanner, patient, and technologist adapted from Servier Medical Art (smart.servier.com), CC BY 4.0. Labels and layout are original.
Illustrated VO2 max test (cardiopulmonary exercise test). A man with ECG electrodes on his chest walks on a treadmill wearing an oronasal CPET mask held by a head harness. A flow sensor on the mask and a sample line run to a metabolic cart with O2 and CO2 analyzers and a screen showing the live VO2 curve. A zoomed inset labels the mask, head harness, flow sensor, and sample line. A chart shows oxygen uptake rising with workload until it plateaus at VO2 max.
Person and treadmill adapted from Servier Medical Art (smart.servier.com), CC BY 4.0. CPET mask, head harness, tubing, metabolic cart, and chart are original drawings.
Renew 33-driver lab panel figure. A rack of five blood collection tubes sits beside a purple 33 badge reading known drivers of arterial damage, with four driver groups: inflammation (advanced inflammation panel: hs-CRP, Lp-PLA2, MPO, Ox-LDL), metabolic (insulin resistance panel with OGTT; lipoprotein panel with Lp(a) and ApoB; vitamin and metabolic panel), genetic (ApoE, KIF6, 9p21), and infectious (OralDNA test for oral pathogens, saliva sample).
Blood tubes adapted from Servier Medical Art (smart.servier.com), CC BY 4.0. Driver groups follow renewhealth.us; panel names from Renew pricing. Layout is original.

Renew's answer to what an executive physical should include is a full physical on executive health, kept on a membership rather than a one-day prestige ticket. CIMT stays the anchor of the arterial story: ultrasound of the carotid arteries so a physician can read wall thickness and plaque. The method page is How it works.

Primary: Performance, $999/mo. Pricing describes it as arterial reversal plus body composition, brain health, and metabolic optimization, all measured, all tracked, all managed by your care team. That care team is four trained providers. Performance includes:

  • DEXA body composition scans (2x/year)
  • VO2 Max testing (2x/year)
  • Tune-up labs (4x/year)
  • Monthly physician visits
  • Monthly S&C coaching sessions
  • Monthly nutritionist sessions
  • In-home mobile phlebotomy
  • An annual Executive Health Report
  • Oura Ring + data plan

Secondary: Executive, $5,000/mo. Pricing describes it as everything in Performance, plus weekly coaching, meal delivery, supplements shipped, custom compounding, and unlimited physician access. On Pricing, that tier is published as:

  • DEXA body composition scans (4x/year)
  • VO2 Max testing (4x/year)
  • CIMT + advanced arterial imaging
  • Unlimited physician access
  • A dedicated sleep specialist
  • Weekly S&C coaching sessions
  • Unlimited nutritionist access
  • Meal delivery or personal chef meal prep
  • All supplements included and shipped monthly
  • Custom compounded medications
  • Priority scheduling

Every membership includes CIMT arterial imaging, advanced lab panels testing for 33 known drivers of arterial damage, a dedicated physician and care coordinator, the root cause workup (OralDNA, sleep, genetics) once a year, and a dental liaison.

Tests included in every membership include an advanced inflammation panel, an insulin resistance panel with OGTT, a lipoprotein panel with Lp(a) and ApoB, genetic testing for ApoE, KIF6, and 9p21, OralDNA testing, a sleep study, and a vitamin and metabolic panel. Pricing lists those tests as included in every membership and does not assign each panel to a tune-up visit.

GLP-1 medications, peptides, and hormone replacement therapy are available in Performance and Executive memberships, prescribed and monitored by your physician. The dementia prevention track, which includes cognitive baseline testing, is available in Performance and Executive memberships.

Pricing lists a money-back guarantee on every tier: "If you experience a heart attack, stroke, or other cardiovascular event while actively enrolled and following your protocol, we refund your membership fees."

A UK Biobank cohort describes carotid intima-media thickness as a surrogate marker of atherosclerosis. The same cohort reports an association between higher thickness and later coronary disease in adults free of cardiovascular disease at baseline. That finding is about the measurement. Do not treat it as a Renew outcome rate. Do not calculate a personal prediction from a screenshot.

The full membership matrix is on Pricing. Performance and Executive are the memberships described on this page.

What this page will not do

  • Rank Mayo Clinic, Cleveland Clinic, or any other hospital as clinically superior.
  • Invent a national "best panel" of labs and scans.
  • Tell you to diagnose yourself from a millimeter, a letter, or a portal flag.
  • Quote unofficial hospital prices. Cash quotes belong on the cost page.

Cardiovascular risk assessment in the itinerary

A serious executive itinerary should say how cardiovascular risk is assessed. A list of labs drawn does not answer that by itself. Ask whether the day includes blood pressure, lipids, glucose markers, and any vascular imaging the program uses. Ask who interprets abnormal findings before you leave. Renew's answer is a full physical under a physician: CIMT as the anchor of arterial imaging, advanced lab panels testing for 33 known drivers of arterial damage, DEXA body composition, and VO2 Max testing, repeated on the membership cadence. That is a method choice. This page does not rank hospital outcomes.

Cost and insurance coverage questions

What you might pay, and how insurance splits the bill, changes what best means for you. Hospital programs often quote custom packages. Coverage for a clinical line can differ from an amenity fee. Read executive physical cost and does insurance cover an executive physical before you treat a brochure as a net price.

Frequently asked questions

What is the best executive physical?

Best means a written itinerary, a clinician who explains it, and follow-through that re-measures later. A famous name helps with coordination. It does not show whether your arterial wall is changing.

Is Mayo Clinic or Cleveland Clinic the best executive physical?

Mayo Clinic publishes a 1-to-3-day itinerary. Cleveland Clinic publishes about six to eight hours. This page treats both as exam-day formats and does not rank clinical outcomes.

How is Renew different from a one-day executive physical?

A one-day program sells a short stay and often hands the next month to your local clinician. Renew's answer is a full physical on membership. Performance at $999/mo is primary: arterial imaging with CIMT as the anchor of the arterial story, advanced lab panels testing for 33 known drivers of arterial damage, DEXA body composition scans (2x/year), VO2 Max testing (2x/year), and monthly physician visits. Executive at $5,000/mo is secondary and adds CIMT + advanced arterial imaging, DEXA and VO2 Max at 4x/year, and unlimited physician access. We do not claim better outcomes than Mayo Clinic or Cleveland Clinic.

Should I travel for an executive physical?

Travel makes sense when you want one coordinated campus stay and a local clinician will use the summary. Mayo Clinic still requires a local primary care clinician for day-to-day care. This page does not list Renew street addresses.

What should I refuse to self-interpret?

Do not diagnose yourself from a millimeter of wall thickness, a letter grade, or a color on a portal. Ask the clinician who ordered the test to explain it. On Renew, Performance at $999/mo or Executive at $5,000/mo still puts that reading with a physician, alongside advanced labs, DEXA body composition, and VO2 Max testing.

Sources

Author and medical review

Written by Andrew Le, MD. Andrew Le, MD reviews patient-facing guidance for Renew Health with a focus on preventive cardiology and functional medicine clarity.

Medically reviewed by Clinical Review Team.

Next step

Choose on depth and follow-through, then start on executive health. Primary: Performance at $999/mo. Secondary: Executive at $5,000/mo. Full matrix: Pricing. Book a consultation.

Structured data

{
  "@context": "https://schema.org",
  "@type": "FAQPage",
  "mainEntity": [
    {
      "@type": "Question",
      "name": "What is the best executive physical?",
      "acceptedAnswer": {
        "@type": "Answer",
        "text": "Best means a written itinerary, a clinician who explains it, and follow-through that re-measures later. A famous name helps with coordination. It does not show whether your arterial wall is changing."
      }
    },
    {
      "@type": "Question",
      "name": "Is Mayo Clinic or Cleveland Clinic the best executive physical?",
      "acceptedAnswer": {
        "@type": "Answer",
        "text": "Mayo Clinic publishes a 1-to-3-day itinerary. Cleveland Clinic publishes about six to eight hours. This page treats both as exam-day formats and does not rank clinical outcomes."
      }
    },
    {
      "@type": "Question",
      "name": "How is Renew different from a one-day executive physical?",
      "acceptedAnswer": {
        "@type": "Answer",
        "text": "A one-day program sells a short stay and often hands the next month to your local clinician. Renew's answer is a full physical on membership. Performance at $999/mo is primary: arterial imaging with CIMT as the anchor of the arterial story, advanced lab panels testing for 33 known drivers of arterial damage, DEXA body composition scans (2x/year), VO2 Max testing (2x/year), and monthly physician visits. Executive at $5,000/mo is secondary and adds CIMT + advanced arterial imaging, DEXA and VO2 Max at 4x/year, and unlimited physician access. We do not claim better outcomes than Mayo Clinic or Cleveland Clinic."
      }
    },
    {
      "@type": "Question",
      "name": "Should I travel for an executive physical?",
      "acceptedAnswer": {
        "@type": "Answer",
        "text": "Travel makes sense when you want one coordinated campus stay and a local clinician will use the summary. Mayo Clinic still requires a local primary care clinician for day-to-day care. This page does not list Renew street addresses."
      }
    },
    {
      "@type": "Question",
      "name": "What should I refuse to self-interpret?",
      "acceptedAnswer": {
        "@type": "Answer",
        "text": "Do not diagnose yourself from a millimeter of wall thickness, a letter grade, or a color on a portal. Ask the clinician who ordered the test to explain it. On Renew, Performance at $999/mo or Executive at $5,000/mo still puts that reading with a physician, alongside advanced labs, DEXA body composition, and VO2 Max testing."
      }
    }
  ]
}

{
 "@context": "https://schema.org",
 "@type": "Article",
 "headline": "Best Executive Physical: How to Choose Depth and Follow-Through",
 "description": "The best executive physical is the visit that matches depth, interpretation, and follow-through. See how to choose, then Renew Performance $999/mo.",
 "image": [
 {
 "@type": "ImageObject",
 "contentUrl": "/images/blog/best-executive-physical/exec-arterial-screening.png",
 "name": "exec-arterial-screening",
 "caption": "Scientific figure of executive arterial screening with CIMT. Panel A: carotid ultrasound probe on the neck. Panel B: vessel wall layers labeled lumen (inside), intima, media, and adventitia (outermost); intima-media thickness bracket spans intima and media only and excludes adventitia. Panel C: optional plaque at the carotid bifurcation. Panel D: CIMT plus plaque findings and labs flow to clinician review, then a personalized prevention plan.",
 "creditText": "Created with BioRender.com (Industry)."
 },
 {
 "@type": "ImageObject",
 "contentUrl": "/images/blog/best-executive-physical/dexa-body-composition.png",
 "name": "dexa-body-composition",
 "caption": "Illustrated DEXA body composition scan. A person lies face up on a padded DEXA table with arms at the sides while the scanner arm extends over the body, and a technologist at a workstation watches the scan image. Labels: scanner arm, lies face up (supine), technologist workstation, and padded scan table with the low-dose X-ray source under the pad. A side panel lists what the scan reports: lean mass, fat mass, visceral fat, and bone mineral density.",
 "creditText": "Scanner, patient, and technologist adapted from Servier Medical Art (smart.servier.com), CC BY 4.0. Labels and layout are original.",
 "license": "https://creativecommons.org/licenses/by/4.0/"
 },
 {
 "@type": "ImageObject",
 "contentUrl": "/images/blog/best-executive-physical/vo2-max-testing.png",
 "name": "vo2-max-testing",
 "caption": "Illustrated VO2 max test (cardiopulmonary exercise test). A man with ECG electrodes on his chest walks on a treadmill wearing an oronasal CPET mask held by a head harness. A flow sensor on the mask and a sample line run to a metabolic cart with O2 and CO2 analyzers and a screen showing the live VO2 curve. A zoomed inset labels the mask, head harness, flow sensor, and sample line. A chart shows oxygen uptake rising with workload until it plateaus at VO2 max.",
 "creditText": "Person and treadmill adapted from Servier Medical Art (smart.servier.com), CC BY 4.0. CPET mask, head harness, tubing, metabolic cart, and chart are original drawings.",
 "license": "https://creativecommons.org/licenses/by/4.0/"
 },
 {
 "@type": "ImageObject",
 "contentUrl": "/images/blog/best-executive-physical/blood-panel-33-drivers.png",
 "name": "blood-panel-33-drivers",
 "caption": "Renew 33-driver lab panel figure. A rack of five blood collection tubes sits beside a purple 33 badge reading known drivers of arterial damage, with four driver groups: inflammation (advanced inflammation panel: hs-CRP, Lp-PLA2, MPO, Ox-LDL), metabolic (insulin resistance panel with OGTT; lipoprotein panel with Lp(a) and ApoB; vitamin and metabolic panel), genetic (ApoE, KIF6, 9p21), and infectious (OralDNA test for oral pathogens, saliva sample).",
 "creditText": "Blood tubes adapted from Servier Medical Art (smart.servier.com), CC BY 4.0. Driver groups follow renewhealth.us; panel names from Renew pricing. Layout is original.",
 "license": "https://creativecommons.org/licenses/by/4.0/"
 }
 ],
 "author": {
 "@type": "Person",
 "name": "Andrew Le, MD",
 "description": "Andrew Le, MD reviews patient-facing guidance for Renew Health with a focus on preventive cardiology and functional medicine clarity."
 },
 "reviewedBy": {
 "@type": "Person",
 "name": "Clinical Review Team"
 },
 "datePublished": "2026-09-23",
 "mainEntityOfPage": "/evidence/best-executive-physical"
}

{
 "@context": "https://schema.org",
 "@type": "MedicalWebPage",
 "name": "Best Executive Physical: How to Choose Depth and Follow-Through",
 "description": "The best executive physical is the visit that matches depth, interpretation, and follow-through. See how to choose, then Renew Performance $999/mo.",
 "medicalAudience": {
 "@type": "MedicalAudience",
 "audienceType": "Patients"
 },
 "reviewedBy": {
 "@type": "Person",
 "name": "Clinical Review Team"
 },
 "lastReviewed": "2026-09-23"
}

Ready to see your actual risk?

Advanced metabolic testing, arterial imaging, and a personalized prevention plan — built around your numbers.

View Memberships

Related Reading

Longevity Science

What Does an Executive Physical Include? Components

What does an executive physical include? Program menus vary. Renew's answer is a full physical on Performance at $999/mo.

Andrew Le, MD16 min read
Longevity Science

How Long Does an Executive Physical Take? Day Clocks

How long does an executive physical take on exam day? Hospital clocks differ. Renew's full physical is membership, Performance at $999/mo.

Andrew Le, MD15 min read
Longevity Science

Executive Physical vs Annual Physical: Key Differences

Executive physical vs annual physical differs in length, depth, cost, and follow-up. Renew's answer is a full physical on Performance at $999/mo.

Andrew Le, MD15 min read