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I can only speak on the RA. When I was pregnant my RA went into remission. It was wonderful, I was like a brand new woman! I still had the regular aches and pains from pregnancy but they were nothing compared to my RA. I was off of all of my medications but there are some that are still safe for pregnancy (Prednisone and Plaquenil come to mind). My preganancies were closely monitored by my OB and a high risk OB but were completely normal.
As for a preconception appointment, I would come prepared with questions (what to expect for monitoring and care, will they let you go to your due date or induce early, is a vaginal birth possible or a c-section reccomended) but the doctor will most likely give you a run down of how they do things.