Longevity Science

Concierge Executive Health: Access vs Measured Care

11 min read
AL

Andrew Le, MD

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

Concierge executive health is a practice model where you pay a monthly or yearly retainer for longer visits, faster appointments, and direct access to a physician, sometimes with a yearly executive physical included. Each practice sets its own fee and its own list of what the fee covers, so ask in writing which labs, imaging, and specialist visits are included and which are billed separately. Performance at $999/mo is primary. Executive at $5,000/mo is secondary.

Your doctor answers the phone, but the plan is still "just take a statin" and a recheck next year. Faster access does not tell you whether plaque is still growing.

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 concierge medicine is selling

Concierge, retainer, and boutique practices are a payment model. You pay a fee so the panel stays smaller and the clinician has more time. Common features people are buying:

  • Same-clinician continuity
  • Longer appointments
  • Direct messaging or after-hours access
  • Help coordinating specialists

Those features can be worth the fee if access is the problem you have. They do not name a disease, a measurement, or a retest. A concierge practice can be excellent at access and still run a conventional prevention schedule. A practice can also do deep arterial work and never use the word concierge.

Ask any retainer practice this question in writing: what do you measure, what do you change, and how will we know? If the answer is only "you can reach us," you bought access. That can be a fair purchase. Call it what it is.

What an executive physical is selling

An executive physical, in the hospital sense, is a compressed itinerary.

  • Cleveland Clinic: a standard exam of about six to eight hours. Plan on a full day.
  • Mayo Clinic: a personalized 1-to-3-day itinerary of exams, tests, and consults.

Mayo Clinic's flyer is explicit about this mix-up. A medical concierge program, in their words, is a membership with around-the-clock year-round provider access for an annual fee. They say they are not that membership and do not provide that access. They do describe a career-long relationship centered on an annual visit, specialist access, and executive-level amenities, plus support between appointments.

A famous executive-health program can feel concierge because of a lounge, a coordinator, and a quiet schedule. The clinical work is still the visit, and amenities do not change what gets measured.

The format comparison lives on executive physical. How to choose among programs lives on best executive physical.

What Renew is selling

Pricing says every membership measures your arterial disease and builds a plan to reverse it. The first goal is to stop arterial disease, then work to reverse it. Your 12-month rescan shows which. Higher tiers add more contact, more testing, and more of your health managed for you.

That is the offer on executive health:

Concierge access model Exam-day executive physical Renew membership
What you pay for Time and reachability A coordinated stay A full physical across the membership
Typical clock Ongoing retainer 6 to 8 hours, or 1 to 3 days Membership cadence
What is named up front Often none The itinerary you were quoted CIMT as the anchor, plus advanced labs, DEXA, VO2 Max, and a physician
After the first month You can still message Summary goes to local care Protocol stays with the physician and care team

Primary: Performance, $999/mo. Performance covers the measurement side: CIMT arterial imaging, 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. First we stop it. Then we work to reverse it. Your 12-month rescan shows which.

Secondary: Executive, $5,000/mo. Executive is the closest Renew tier to concierge access. It adds unlimited physician access and priority scheduling on top of the Performance workup. Visits are remote, by video, with messaging between them.

The method is on How it works. We do not claim this model has better outcomes than Mayo Clinic or Cleveland Clinic.

Employer-paid access is a separate contract. See corporate executive physical.

Personalized care, prevention, and scheduling at Renew

Renew publishes three things a concierge comparison usually asks about.

Who you work with. Every membership includes a dedicated physician and care coordinator.

What the prevention plan measures. CIMT is the anchor of arterial imaging, alongside advanced lab panels testing for 33 known drivers of arterial damage, DEXA body composition, and VO2 Max testing. The dementia prevention track, which includes cognitive baseline testing, is available in Performance and Executive memberships.

How you get appointments. Performance at $999/mo, primary, includes monthly physician visits. Executive at $5,000/mo, secondary, includes unlimited physician access and priority scheduling on all appointments.

Questions that keep the categories straight

Use these when a website mixes the words executive, concierge, and longevity.

  1. Is the fee a retainer for access, a quote for one stay, or a membership that includes a defined workup?
  2. Is imaging named, and will it be repeated?
  3. Who changes treatment when a driver is abnormal?
  4. Which parts of the fee are amenities, meals, or coaching rather than medical care? That split matters for HSA questions and for insurance.

Do not self-stage your arteries from a millimeter or a letter grade while you shop. The clinician who orders the test should interpret it.

What to compare across concierge practices

Put the same questions to every practice, including Renew.

Clinician expertise. Ask whether each doctor is board certified, and in which specialty. The American Board of Internal Medicine and the American Board of Family Medicine both offer public certification lookups. If arterial disease is your concern, ask who on the team has training in preventive cardiology or lipid management.

Digital access. Ask what the patient portal shows, such as lab results, imaging reports, visit notes, and secure messages. Ask for the message reply time in writing, whether visits can happen by video, and who answers after hours. Renew physician visits are remote, by video, with messaging between visits.

Preventive strategy. Ask how the practice tracks your numbers from year to year, which tests it repeats and how often, and how it decides to start or change a medication. Faster access without a re-test schedule leaves the tracking to you. On Performance at $999/mo, Renew repeats DEXA and VO2 Max 2x/year and tune-up labs 4x/year.

Frequently asked questions

Is concierge executive health the same as an executive physical?

No. Concierge care is an ongoing retainer for faster and longer access to a clinician, and an executive physical is a set of exams and tests done in one visit. Mayo Clinic and Cleveland Clinic publish exam-day itineraries, and Mayo Clinic says its program is not around-the-clock year-round concierge care.

Is Renew a concierge practice?

Renew is a monthly membership with a physician and a written test schedule, so it shares the ongoing access of concierge care and adds repeat measurement. Performance at $999/mo is the primary path: a full physical with CIMT as the anchor of arterial imaging, advanced labs, DEXA body composition, VO2 Max testing, and monthly physician visits. Executive at $5,000/mo adds unlimited physician access on top of that work.

What does concierge executive health cost?

Retainer fees are set by each practice, and there is no national concierge price. Renew's published prices are Performance at $999/mo, primary, and Executive at $5,000/mo, secondary. Both include a physician, advanced labs, DEXA body composition, and VO2 Max testing, with CIMT as the anchor of arterial imaging.

Does unlimited access mean better medical results?

Not by itself. Faster access helps you reach a clinician sooner, and results depend on which risks are measured and treated.

Which Renew tier is the access tier?

Executive at $5,000/mo is the secondary tier. It adds 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, and CIMT + advanced arterial imaging. DEXA and VO2 Max are 4x/year on Executive. Performance at $999/mo is the primary clinical path, with DEXA and VO2 Max at 2x/year and monthly physician visits. Both include a full physical with a physician.

Sources

  • Mayo Clinic Executive Health FAQ flyer (MC1927-43) (not an around-the-clock year-round concierge membership)
  • Mayo Clinic Executive Health Program (1-to-3-day itinerary)
  • Cleveland Clinic About Your Executive Health Exam (about six to eight hours)
  • Renew Health pricing (every membership measures arterial disease and builds a plan to reverse it)
  • Renew Health executive health program
  • Renew Health how it works
  • American Board of Internal Medicine: verify a physician's certification
  • American Board of Family Medicine: physician certification lookup

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

If you want a full physical with a physician, compare Performance at $999/mo and Executive at $5,000/mo on executive health.

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