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Ideally, you can add new insulation to your existing insulation. However, some circumstances require you to remove old insulation before adding any new insulation: 

• If the insulation is over 15 years old

• If the insulation is wet or moldy

• If it is vermiculite insulation

• If you see signs of pest infestation

Removing old insulation is best left to a pro who can safely dispose of potential moldy or asbestos-ridden insulation.

The best type of attic insulation depends on where you live, your budget, and what stage of construction the attic is in. For example, if you're building a house, then structural insulated panels are a worthy investment since they're easy to install during construction and they're the most energy-efficient type of insulation.  

Additionally, if you live in a very warm climate, then you can potentially save quite a bit of money by opting for reflective insulation, which is more affordable than comprehensive insulation but doesn't work well for cool climates. Blown-in, loose-fill, and spray foam insulation are all great options for attics in moderate climates.

If you need to insulate behind finished walls, the best option will likely be to have an insulation professional install blown-in insulation. The installation requires small holes cut in your wall, after which the installer can blow loose-fill insulation into the void. After the installation, you’ll have minor drywall patching, which shouldn’t cost more than $100. Compared to ripping down the existing drywall, using a different type of insulation, and replacing and finishing the drywall, this should save you hundreds or even thousands, depending on the size of the room you’re insulating.

Minimal maintenance is required, though regular inspections to ensure insulation hasn't shifted or deteriorated can improve performance over time.