Conformal antennas are available for Inmarsat BGAN, but I've not seen any that have enough gain (tight beamwidth) suitable for commercial ku satcom where the satellites are so tightly packed. Sidelobes might be a big technical challenge for e-steerable arrays, as applies to ku-band.
Depending on the required data rate, Iridium is another option. Single channel get you 2400 bits (!) per second. But they've now got multi-channel systems that provide 8, 16, or 32 times. Still sloooow, but it does provide true global coverage.
The mid-term future will bring more options.