What Does an Executive Physical Include? Components

An executive physical usually includes a detailed history and exam, lab testing, heart and fitness checks, vision and hearing tests, and a results review, though each program publishes its own list. Cleveland Clinic's list, for example, may include comprehensive labs, cardiac, vision, hearing, and lung evaluations, vaccinations, bone densitometry, and a weight, fitness, and stress evaluation, with any colonoscopy on a separate day. Performance at $999/mo is primary. Executive at $5,000/mo is secondary.

Your last checkup was a seven-minute visit, one cholesterol number, and "see you next year." A full physical should measure much more than that.

Created with BioRender.com (Industry).

Adapted from an illustration created with BioRender.com (Industry).

There is no single included list

An executive physical is a way of booking the day. The name does not list the tests.

When someone asks what is included, they usually want one of three answers:

The sequence of the day (history, exam, testing, results talk).
One hospital's published options.
A promise that every famous program runs the same tests.

Only the first two are available. The third is a myth. USPSTF A and B recommendations are organized by condition and risk group. They are not published as one executive-day package. A VA evidence brief describes a shift toward periodic screening and exam pieces tailored to age, sex, risk, and clinical presentation. The shift is away from a routine head-to-toe annual comprehensive exam for every asymptomatic adult.

If you want the definition of the visit, see what is an executive physical. If you want what "screening" means, see executive health screening.

Cleveland Clinic's published "may include" list

Cleveland Clinic's executive exam page uses may include language. The tailored evaluation may include:

Detailed history and physical examination
Comprehensive laboratory testing
Cardiac health evaluation
Visual health evaluation
Auditory health evaluation
Pulmonary health evaluation
Vaccinations, reviewed and given as needed
Bone densitometry
Weight, fitness, and stress evaluation

The same page says the list is customized. It also says a colonoscopy, if needed, is a separate day, and that optional services such as a full-body scan, dental consultation, carotid ultrasound, calcium-score screening, or CT/angiogram of the coronary arteries may require an extended stay.

Read every bullet as Cleveland's published option, specific to that program and separate from Renew's order set. Women's visits and other add-ons are described by that program. Ask them what applies to you.

What Mayo Clinic says is in the visit

Mayo Clinic's experience page says the itinerary includes three layers:

A gender- and age-based standard protocol.
Additional services the physician adds from your history and exam.
Optional services you can select. The page names examples such as genetic testing, multi-cancer early detection screening, and stress and resiliency training.

The FAQ materials describe a typical sequence: history with a coordinating physician, a complete exam, a discussion of the protocol and added tests, testing across the campus, a return conversation about results, and a written report that can be shared with your local doctor.

Mayo Clinic does not let the Executive Health physician replace your primary care clinician. You are expected to have local care for the rest of the year.

If you want Mayo's current age-band assay list, read Mayo's current protocol.

Cancer screening: what hospital programs and Renew include

Cancer screening in an executive physical follows the program's protocol and your own age, sex, and history. USPSTF A and B recommendations cover screening for colorectal, breast, cervical, and lung cancer in defined risk groups. Each program applies them differently.

Hospital programs handle cancer screening in their own way:

Mayo Clinic builds the visit on a gender- and age-based standard protocol, and names multi-cancer early detection screening as an optional service.
Cleveland Clinic schedules a colonoscopy, if needed, as a separate day.

Ask the program in writing which cancer screenings its protocol includes for you, which are optional, and which it schedules on another day.

Renew's Pricing page does not list cancer screening tests. The published membership centers on CIMT arterial imaging, advanced lab panels testing for 33 known drivers of arterial damage, DEXA body composition, VO2 Max testing, a sleep study, genetic testing, OralDNA testing, and a physician. Keep your age-appropriate cancer screening with your primary care clinician, and ask the Renew team before you assume membership covers it.

Screening items versus a method

A stacked day can include guideline-based services and extra tests outside the USPSTF A/B list. Adding tests does not create a method by itself.

A method names:

What disease or risk you are trying to see
Who interprets the flag
What treatment follows
How you will know whether anything changed

Carotid intima-media thickness is one research marker of subclinical atherosclerosis. A UK Biobank cohort of adults free of cardiovascular disease at baseline describes it that way and reports an association with later coronary events. That citation supports measuring the wall. Do not diagnose yourself from a millimeter. The association in that paper describes a research cohort, and Renew does not publish its own event rate.

Do not turn a letter on a lipid report, a color on a dashboard, or a single thickness number into a self-diagnosis. Ask the ordering clinician.

What Renew includes, in live-site language only

The list below is Renew's own, from executive health and Pricing. CIMT is 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. The first goal is to stop arterial disease, then work to reverse it. Your 12-month rescan shows which. 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
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.

Performance and Executive also make GLP-1 medications, peptides, and hormone replacement therapy available, prescribed and monitored by your physician, along with a dementia prevention track that includes cognitive baseline testing.

The full membership matrix is on Pricing.

Time for the exam-day version of "included" is on how long an executive physical takes. Length of a short checkup versus this itinerary is on executive physical vs annual physical.

Cardiovascular risk assessment versus a lab printout

A cholesterol number is one piece of cardiovascular risk assessment. Programs may combine history, vitals, labs, and imaging. Cleveland Clinic and Mayo Clinic publish format language for their own days. Renew's answer is a full physical a physician interprets: CIMT as the anchor of arterial imaging, advanced lab panels, DEXA body composition, and VO2 Max testing. Do not self-grade a millimeter or a letter on a report.

Physician consultation and follow-up

A test list with nobody named to interpret it is incomplete. Ask who reviews results with you on the visit day, and who owns treatment after you leave. For a side-by-side with a shorter checkup, see executive physical vs annual physical.

Preventive planning after the visit

The written plan you leave with decides what the tests are worth. Ask for a plan with these parts:

Findings ranked by priority, with the numbers that need action first.
Targets with dates, such as a blood pressure, LDL cholesterol or ApoB, or A1c goal and when it will be rechecked.
Lifestyle steps for activity, nutrition, sleep, alcohol, and tobacco, written as specific changes.
Medication decisions, including what was started, stopped, or deferred and why.
Referrals to specialists, with the name of whoever schedules them.
A re-test schedule for each lab or scan that showed a problem.
A named owner for each item, whether that is the program's doctor or your local clinician.

Mayo Clinic says its Executive Health physician is not your primary care clinician. Hospital programs therefore usually hand this plan to your local doctor. On Renew, the plan stays with the same care team. Performance at $999/mo includes monthly physician visits and tune-up labs (4x/year), so targets get rechecked on a schedule.

Frequently asked questions

What tests are always included in an executive physical?

No test is guaranteed at every program. Cleveland Clinic publishes a may-include set, and Mayo Clinic uses an age- and gender-based protocol plus add-ons. Ask for the written itinerary that applies to you.

Does an executive physical include heart imaging?

Sometimes it does, as a tailored cardiac evaluation or as an optional add-on. Cleveland Clinic names cardiac evaluation on the may-include list, and names calcium-score screening and coronary CT as services that may extend the stay. Renew's arterial imaging uses CIMT as the anchor of the arterial story. Executive membership adds CIMT + advanced arterial imaging. Pricing does not name another modality.

What does Renew's executive health program include?

Performance at $999/mo is primary. It includes arterial imaging with CIMT as the anchor, advanced lab panels testing for 33 known drivers of arterial damage, DEXA body composition scans (2x/year), VO2 Max testing (2x/year), tune-up labs (4x/year), and monthly physician visits. Executive at $5,000/mo is secondary and adds DEXA and VO2 Max at 4x/year, CIMT + advanced arterial imaging, unlimited physician access, and priority scheduling.

Are more tests a better executive physical?

Not by themselves. More tests add time and cost, so ask what each one is meant to find, who will explain it, and how you will know whether it changed.

Can I tell if my result is normal from the report header?

A millimeter, a letter, or a flag still needs the clinician who has the rest of your history. Do not diagnose yourself from the report header.

Sources

Cleveland Clinic About Your Executive Health Exam (published "may include" list. about six to eight hours)
Mayo Clinic Executive Health: Your Experience (age- and gender-based protocol plus physician-added and optional services)
Mayo Clinic Executive Health Program (1-to-3-day itinerary)
Evidence Brief: Role of the Annual Comprehensive Physical Examination in the Asymptomatic Adult (VA / NCBI Bookshelf)
Mitra et al., carotid intima-media thickness in UK Biobank adults (research marker. not a Renew outcome rate)
Renew Health executive health program
Renew Health pricing
Renew Health how it works
Mayo Clinic Executive Health FAQ flyer (MC1927-43) (program physician is not your primary care clinician)

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 that full physical kept on a membership, compare Performance at $999/mo and Executive at $5,000/mo on executive health.

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