I get an annual checkup that is more intensive than what many are describing as "wellness visits." My PCP goes over my meds, asks about my diet, exercise and other health habits, asks if I have any complaints or have noticed any changes, orders tests, and listens to my heart and lungs.
Ongoing meds are automatically mailed to me every 90 days.
So far, my doc hasn't bothered with mental acuity testing, but he can probably glean from our conversations that I'm not suffering from cognitive decline.
Health problems that crop up between those annual visits are addressed when they occur.
These are at no cost to me, or small co-pay if I visit an ER. I'm well satisfied with my health care group (Kaiser Permanente).