Choosing the right Stealth Belt can be a bit of a puzzle, especially if you're new to having an ileostomy and are dealing with high liquid output. A Stealth Belt can offer support, comfort, and help keep things discreet. If you're considering the horizontal style but are unsure if it's suitable for your needs, here are some insights and advice from others who have been in your shoes:

1. Belt styles and uses:
- The Neoprene Vertical Stealth Belt, which comes with a bag extension, is great for moderate water activities and offers good support. However, it might not be secure enough for high-impact activities like cliff diving.
- Having a few different styles, such as horizontal, vertical, and neoprene, can be beneficial. This way, you can choose the best one for your activities each day. Some people prefer wearing the vertical model all the time, especially if they have physically demanding jobs like firefighting, and they never leave home without it.

2. Insurance and purchasing:
- In the past, Stealth Belt could bill your insurance if you had a doctor’s letter stating that the belt improves your quality of life. It might be worth asking your doctor for such a letter.
- Be aware that there have been reports of communication delays when contacting the company for custom orders, such as for double ostomates. Phone calls often reach automated messages, and emails may receive generic replies. However, standard sizes ordered directly from the website seem to process smoothly, though customer service for special requests might be lacking.

3. Reliability considerations:
- For gentle swimming or light water sports, the belts generally stay secure.
- If you're planning on doing high-impact activities, be cautious as these can dislodge the pouch. You might need to take extra precautions if you expect sudden force or heavy movement.

4. Overall user satisfaction:
- Despite some current customer service issues, users consistently praise Stealth Belt products for the comfort, confidence, and concealment they provide once you have them.