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Monolithic slabs don’t require insulation, but many homeowners choose to have their contractors install insulation under the slab during construction. This can help improve home efficiency even more and keep indoor temperatures more stable. Slab foundations are more energy-efficient than uninsulated crawl spaces and basements, and insulated slab foundations are more energy-efficient than insulated crawl spaces and basements.

Reflective and high R-value batt or roll insulation are often considered energy-efficient, offering significant thermal resistance benefits.

According to a report from Energy.gov, radiant barrier installations can save between 5% and 10% on your energy bill each month that your HVAC cooling is in operation. That fact can mean savings of up to more than $325 per year for homes that experience frequent direct sunlight and high summer temperatures. 

You do not always need to remove old insulation before adding new. If the existing insulation is in good condition—not wet, physically damaged, moldy, or infested with pests—you can add new insulation directly on top of it for a compounding effect. You can also mix different types, such as adding blown-in insulation around existing fiberglass batts.

However, removal is recommended if the old insulation is compromised by water damage or pests. You should also remove it if you plan to install a different type of insulation, like switching from roll or batt insulation to spray foam. If the existing insulation is very old or damaged, you will likely get more benefit from removing it and starting fresh.