A standard physical takes 20 minutes and costs your insurance company $250. An executive health assessment takes two full days, costs $5,000 to $25,000 out of pocket, and tells you things about your body that no routine checkup will ever reveal. For the C-suite and ultra-wealthy, it’s not optional. It’s an annual operating expense for the most important asset they own.
What $25,000 Actually Buys
Premium executive health programs deliver a level of diagnostic depth that standard medicine simply doesn’t offer. A typical two-day assessment includes advanced cardiac imaging, full-body MRI screening, comprehensive metabolic panels with 80-plus biomarkers, cognitive function testing, genetic predisposition analysis, sleep architecture assessment, body composition analysis via DEXA scan, and consultations with specialists in cardiology, oncology, and endocrinology.
The Cleveland Clinic, Mayo Clinic, and Johns Hopkins all operate executive health programs. Private providers like Human Longevity Inc. layer on whole-genome sequencing and AI-driven risk modeling. The result is a diagnostic picture that catches problems years before symptoms appear, when intervention is cheapest and most effective.
The Market Economics
Executive health assessments sit at the intersection of preventive medicine and luxury service. Corporate wellness programs increasingly cover assessments for senior leadership, recognizing that a CEO’s health is material to shareholder value. Some employers cover the full cost as an executive benefit, while others offer partial subsidies through HSA or FSA accounts.
The market is expanding as longevity consciousness moves from fringe biohacking to mainstream corporate culture. Companies like Function Health raised $298 million to bring comprehensive blood testing to a broader audience at lower price points. Meanwhile, InsideTracker uses blood tests and AI to prescribe personalized recommendations, bridging the gap between elite executive health programs and consumer wellness.
The Two-Day Protocol
Day one typically focuses on diagnostics: blood draws, imaging, stress testing, and screening. Day two moves to consultation, where specialists review results, identify risk factors, and develop a personalized health optimization plan. The thoroughness is the point. In standard medicine, physicians have seven to ten minutes per appointment. Executive health physicians spend hours.
Furthermore, many programs include ongoing monitoring. Quarterly blood panels, wearable device data review, and telemedicine check-ins create a continuous health surveillance system. This longitudinal approach detects trends that point-in-time assessments miss, catching gradual changes in biomarkers before they become clinical problems.
Who’s Buying and Why
The typical executive health client falls into one of three categories. Corporate executives whose companies mandate annual assessments as part of key-person insurance requirements. Entrepreneurs and investors who view their health as their most valuable business asset. And aging affluent individuals pursuing proactive longevity management.
The psychological dynamic is revealing. These are people accustomed to having complete information before making decisions. They run businesses on dashboards and data. The idea of managing their health with a 20-minute annual physical and basic bloodwork feels like running a company without financial statements. Executive health assessments give them the data density they expect in every other domain of their lives.
The Longevity Pipeline
Executive health assessments function as the diagnostic gateway to the broader longevity industry. Once clients receive comprehensive biomarker data, they become consumers of longevity interventions: concierge medicine for ongoing management, longevity retreats for intensive protocols, and supplement regimens optimized to their genetic profiles.
The assessment itself is a loss-leader for lifetime client value. A $25,000 physical leads to $50,000-plus in annual concierge fees, $10,000 in supplement spending, and periodic retreat visits. The smartest operators in executive health understand they’re not selling a physical. They’re selling the first chapter of a longevity relationship worth seven figures over a lifetime.
For the full picture of what wealthy Americans spend annually on health optimization, see our old money wellness spending decoder.