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Yes, basement insulation needs a vapor barrier due to its susceptibility to moisture seeping in from the outside of the house. You should install a moisture barrier before you install insulation or purchase insulation that comes prebuilt with a moisture barrier to avoid water damage in your insulation and costly mold and water remediation expenses. 

Yes, they address underlying issues, providing long-term seals and energy savings you might need help to achieve.

The most insulative type of insulation for behind drywall is spray foam insulation, but this is the most expensive insulation available. The most common insulation—sometimes considered the best for the value you get for the money—is fiberglass roll or fiberglass batt insulation, which is significantly more affordable but also far less insulative. The best kind of insulation for your house will also vary based on the climate in your area, your budget, and more. A professional insulation company can help you decide which type is best for your home.

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.