Your Benefit Was Denied and the First Option Seems to Be the Appeal. Be Careful: Lawyer Daniel Moreno Explains Why This Decision Could End Your Chances and What the Right Path to Take Is.
Receiving the letter from INSS with the information of sick leave denied is a frustrating situation that raises many doubts. The notification itself informs about a 30-day period to file an appeal, but that is not always the best choice. According to labor lawyer Daniel Moreno, appealing administratively can be a huge waste of time.
Received the Denial Letter? Understand the Big Mistake Many Make
When INSS denies a benefit, the insured receives a denial letter. It states that you have up to 30 days to appeal the decision. In light of this, most people, without guidance, file an appeal with INSS itself, believing it to be the only path.
However, this attitude, in most cases, does not yield the expected result. It’s a common mistake that can delay the resolution of your problem for months or even over a year.
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Why the Appeal Within INSS Almost Always Fails?
The reason why the administrative appeal rarely works is simple. When you appeal, your case is sent to another INSS server to review the initial decision. The problem, as lawyer Daniel Moreno explains, is that this new analysis is based exactly on the same medical report that caused the denial.
The second server will read the doctor’s opinion, which states that you are fit for work, and will agree with the initial decision. No new examination will be conducted. “What are the chances of this working? Practically zero,” says Moreno. You are simply wasting precious time waiting for a result that, in 99.9% of cases, will be another denial.
The Right Path After Having Sick Leave Denied: Judicial Action
If your sick leave denied was due to the medical examination that deemed you fit, the guidance is clear: seek justice. “Do not appeal your sick leave denial decision. […] Run to the courts, seek a lawyer,” advises Daniel Moreno.
In judicial proceedings, the scenario changes completely. The judge will order a new examination, with a different, impartial expert trusted by the court. This represents a real new chance to prove your disability.
It is essential to act quickly. Lawyers recommend filing the judicial action within the first month after the denial. Delaying for many months may lead the judge to interpret that you did not urgently need the benefit and may order you to make a new request with INSS.
And What If the Reason for the Denial Is Not the Medical Examination?
It is important to verify the exact reason for the denial in your letter. Everything mentioned above applies to cases where the INSS expert released you.
However, if the letter states that you are ill, but the denial occurred for another reason, such as “lack of contributions” (not having contributed for the minimum required time), the situation is different. In these specific cases, which are the minority, it may be viable to analyze the possibility of an appeal within INSS itself.
How to Prepare for a New Examination and Increase Your Chances
Whether in a new judicial examination or in a future request with INSS, preparation is essential. Bringing the correct documentation greatly increases your chances of approval.
The most important are tests (such as x-rays and MRIs) and a detailed and updated medical report. The expert needs concrete evidence of your condition. According to Daniel Moreno, a report from your doctor explaining your treatment is very helpful.
Medical certificates and prescriptions are important, but carry less weight. “That is the least important in your examination,” the lawyer emphasizes. Additionally, keep your tests always recent. If you have been away for two years with a test from that time, the expert may understand that your condition has not been reevaluated and deny the benefit.


A vinte dias tive um acidente de trabalho sou caminhoneiro e já estou na fase final dos exames, tenho o punho esquerdo fraturado a T12 da coluna fraturada e L4-L5 comprometida de acordo com laudo médico já vou dar entrada no INSS, será que tenho uma perícia rápido !?.
Fica claro do porque o ADVOGADO faz essa sugestão, mas com 30 anos de experiencia na area ocupacional, digo q essa “chance quase zero” não é verdadeira.
BOA NOITE,MEU ESPOSO ENTROU COM RECURSO NO INSS,TUDO INDICA QUE A CAUSA ESTA GANHA,MAS NAO SAI DO ANÁLISE, COMO PROCEDER NESTE CASO?