Review of the grado de Incapacidad Permanente (INSS)

What you need to have to hand

1. Cl@ve, certificado digital or DNIe to log into Tu Seguridad Social.
2. Your número de expediente and the resolución of Incapacidad Permanente you want reviewed.
3. Recent medical reports (really recent, last 6–12 months) and tests in PDF.
4. If you work, a company report with real duties; if not, your vida laboral (https://importass.seg-social.es).
5. Some quiet time: attaching and explaining the changes properly takes time.

Documentation

• DNI/NIE and the previous resolución of IP.
• Specialist reports with diagnosis, treatments, prognosis and functional limitations.
• Diagnostic tests (RMN, TAC, EMG, blood tests…).
• Primary Care report and active medication list.
• Sick leave reports or Mutua reports (if applicable).
• Company report with tasks and risks or an updated vida laboral.
• Any resolución de compatibilidad/incompatibilidad with employment or other prestaciones.

Step by step

1. Go to tu.seg-social.gob.es and log in with Cl@ve or certificado.
2. Search “Revisión de la incapacidad permanente (INSS)”. If it doesn't appear, use the Sede (sede.seg-social.gob.es) and the service enviar solicitud y documentación al INSS.
3. Fill the form: mark agravación/mejoría/error de diagnóstico and explain what changed since the last resolución (dates, surgeries, sick leaves, new reports).
4. Attach the previous resolución, reports and tests in PDF. Name files clearly (e.g., 01_Informe_Trauma.pdf).
5. Send and save the justificante with CSV. Check DEHú (https://dehu.redsara.es) in case they summon you to the EVI or ask for more papers.
6. When summoned, attend the EVI with originals. If you can't, justify in writing ASAP to avoid archive/denial.
7. You'll get the resolución by electronic notification or post. If you disagree, file a reclamación previa within 30 días hábiles via the Sede (Presentación de escritos al INSS) or at a CAISS with cita.

Time-savers

• Summarise on one page the evolution: before/now, what new limitations you have and how they affect basic or work tasks.
• Attach recent reports; ones from 3 years ago barely help. If possible, get two specialties agreeing on the same issue.
• The Sede sometimes chokes on very large PDFs. Compress and avoid 5 MB phone photos.
• Activate alerts in DEHú and check Tu Seguridad Social every few days. You avoid missing deadlines due to a “phantom” notification.
• If your resolución sets a review date, supply objective novedades if you ask earlier. If not, wait for that date.

Common mistakes that can ruin the process

• Asking for a review without medical novedades: serious risk of keeping or lowering the grado.
• Not attending the EVI appointment: they can archive or deny. If you can't go, justify in writing and request a new date.
• Uploading blurry or incomplete reports: they read as weak evidence.
• Forgetting the reclamación previa within 30 días hábiles: goodbye to the judicial route.
• Thinking a “review” only improves things: it can also lower the grado or remove the pension. Prepare it like it's a hearing.