A ring-shaped cushion for a hearing protector or audio headset. The cushion has a circumferential contact pad for sealing on a wearer's head and an attachment for sealing with an earmuff. The cushion further has a sound insulation tube that inwardly defines an inner space. The sound insulation tube extends between the contact pad and the attachment. The cushion has a ventilation passage that extends entirely through the cushion between an inlet opening in the contact pad and an area outside of the inner space. The cushion may further include one or more physiological sensors to monitor the health of a wearer.