Physicals in Concierge Medicine

Concierge Medicine is becoming a big thing in the US. That's where the patient pays an annual fee to the primary care physician and receives enhanced medical services. Typically, the physician also provides a much more in-depth annual physical exam. I'm not a patient in such a practice, at least not yet. But I'm wondering if any of you are. Could you describe for us your experience? In particular, how does the annual physical exam compare to what you received prior to becoming a member of the concierge practice?

I have a concierge doc that I just started seeing within the last 4 months. The practice is much more proactive in dealing with preventing and treating medical issues. The intake physical was much more in depth....including an in depth medical history, hearing test, cognitive testing, extensive lab work, imaging, etc. Keep in mind that I am a "senior", so I do not know if that is standard for younger patients. As far as the actual physical....like with any physical the patient can set some limits on what takes place. If you are curious about a DRE etc.....I told him right from the start that I would not be OK with having a "routine" rectal exam.....and would only consent to it if I had a medical issue that required it. My PSA is .5.....VERY low. As a result.....that was not part of my exam, nor did he examine my genitals. If I had not spoken up about that in the pre-exam interview I have no idea if he would have made it part of the physical.