*BC has a fee for service model as I suspect does most of the country and this is an untenable model that often leads to unnecessary tests or referrals thus raising costs.

The annual physical is usually not covered under the fee for service model and some other description is used when billing.  It doesn't help that medical schools have discredited the annual physical because it seldom uncovers major health issues.  

It really is the family physician who performs "heroic medicine" rather than the surgeon or the specialist.  Annual physicals properly performed allow the physician to know each patient and initiate early intervention, usually lifestyle, when progressive changes start to be noticed before they become a problem.

*http://www.policynote.ca/how-doctors-are-paid-in-bc/