I have one of those, it blows fresh air in through the bedroom and sucks it back out through the kitchen (loft house, this route prevents food smells from wafting into the bedroom). Aside from just feeling fresh all year, this system also prevents mosquitoes from entering in summer while still allowing air circulation, it automatically bypasses the exchanger at night to provide cool air and it has some pollen filters installed which helps with hay fever.
So great economic return and a bunch of upsides, but it does require space for the exchanger and the ducts throughout the house.