Doctor and patient in social security medical exam room

INSS medical exam: doctor and patient in an assessment room during social security benefit evaluation.

About this subject

The INSS medical examination is a mandatory step for granting benefits such as sickness leave, disability retirement, and the Continuous Cash Benefit (BPC/LOAS). Conducted by federal medical experts, the assessment analyzes clinical documents, complementary exams, and the insured person's health status at the time of the consultation. The exam takes place in standardized rooms at Social Security agencies, equipped with a stretcher, desk, and computer for recording the opinion. The expert may request additional tests if there are doubts about work incapacity.

Brazil has about 1,600 active federal medical experts, insufficient to meet the demand of over 3 million exams per year. This results in queues that can exceed 60 days, directly impacting the income of workers on leave. In 2023, the average wait time for an initial exam was 45 days, with peaks of 120 days in metropolitan regions. The federal government has implemented task forces and tele-exams to reduce the bottleneck, but the shortage of professionals persists.

The medical examination is also criticized for its subjectivity: two experts may diverge on the same clinical condition. The insured person has the right to appeal an unfavorable decision via administrative appeal to the Social Security Appeals Council (CRPS), which can reverse the outcome. Additionally, since 2022, INSS allows remote exams via videoconference in some cases, expanding access in remote areas.

Curiosity: the federal medical expert is a higher-level position with an initial salary of around R$ 12,000, requiring a medical degree and CRM registration. The category demands career restructuring and a new public exam to address the professional deficit.

Frequently Asked Questions

What should I bring to the INSS medical exam?

Personal documents (ID, CPF), work card, recent medical exams, prescriptions, certificates, and reports proving the illness or injury. Also bring the benefit number and appointment confirmation.

How long does it take to get the exam result?

The result is given at the exam or within 24 hours via the Meu INSS website. If approved, benefit payment may take 30 to 45 days to be deposited.

Can I request a reconsideration if the exam is denied?

Yes. You can file an administrative appeal to the CRPS within 30 days. You can also schedule a new exam through Meu INSS, presenting new documents.