should I have my rny open or laproscopic?

My insurance approved my rny surgery. My doctor is covered under my insurance. The hospitals that are covered under my insurance are not surgically equipped with the equipment for a laproscopic procedure. If I go to the hospitals that are covered....and my doctor practices at them, I will have to have the open procedure...which I do not want. The hospital my doctor can perform the laproscopic procedure at is considered a non-ppo....so benefits would only be paid at 65% to the hospital even though my doctor is covered. I can't afford to pay the difference, and can't really afford to take the additional time off work that the open procedure would require. The insurance company said I could appeal the decision but needed a doctor's note stating why we are going to a non-ppo hospital. The doctor's office called me back, and said they didn't know what to write, and that the doctor said there really wasn't much difference between the 2 procedures. I think there is....and really DO NOT want the open procedure!! Any suggestions?

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