Yes. US dollars are accepted for all transactions in The Bahamas. The US dollar and the Bahamian dollar are “pegged” meaning that 1 USD = 1 Bahamian dollar. Casinos only accept US dollars as gambling is restricted to tourists in The Bahamas and they are a great place to exchange your Bahamian dollars back to US dollars before departure. Blue Key uses US dollars for the cost of your medical appointment for HepC treatment, for your prescription of Harvoni, Epclusa  or Sovaldi, and for all travel services offered to save our patients from foreign currency surcharges.