Natural disasters that occur experience a significant increase every year. Likewise, the risk of natural disasters that occurs continues to increase. The increase that occurred was in the form of casualties and losses due to natural disasters. Thus, a new alternative policy is needed as a mitigation effort to minimize the risk of disasters that occur. In this study, it aims to determine the alternative and efficient natural disaster management insurance scheme. The method used in natural disaster mitigation and insurance schemes is the Systematic Literature Review. Based on the research results, alternative natural disaster management requires synergy between the government and the community. So that it can form a disaster mitigation group that is responsive, active and resilient in implementing policies to anticipate natural disasters. Meanwhile, the disaster insurance scheme uses a cross-subsidy system and the premium is charged to the local government. Where, provinces with low economic growth while the potential for natural disasters are high can be helped and receive subsidies from provinces with high economic growth but low potential for natural disasters. So that areas with low economic growth while the potential for natural disasters are high, no longer need to be burdened with huge natural disaster insurance premiums.